On the supposition that pericoronary lymphatics play an important role in t
he efflux of interstitial fluid from the blood vessel wall, we examined the
morphology of pericoronary arterial lymphatics in the dog. After ligation
of the principal epicardial drainage lymphatics, after ligation of the left
anterior descending coronary artery, after induced pericoronary inflammati
on and after instillation of India Ink into the pericardial sac using Eight
, dissecting, and electron microscopy. The findings were compared with non-
operated (control) dogs.
Lymphatic drainage of the coronary arteries is via adventitial lymphatics,
which do not penetrate to the media and via periadventitial lymphatics cons
isting of a subepicardial lymphatic plexus overlying the coronary arteries.
The smaller arterioles in the ventricular muscle have many more accompanyi
ng lymphatics than do epicardial coronary arteries. In the latter arteries,
prelymphatic channels formed by collagen fibers in the media likely transp
ort interstitial fluid to the adventitial and periadventitial lymphatics. A
rterial contraction also likely plays a role in propulsion of coronary arte
rial interstitial fluid towards adventitial lymphatics.