Location:
The ostium of the left marginal vein is typically at the distal end of the coronary sinus.
In most human hearts we have observed a valve associated with the ostium as this venous
drainage enters the coronary sinus.
Function:
This cardiac vein returns deoxygenated blood (metabolic waste products) from the lateral
wall of the left ventricle.
Importance in device delivery:
Left heart pacing can be achieved via placing leads into the left marginal vein; in the
diseased heart this region of the heart will often be the region of latest ventricular
depolarization.
Other Nomenclature:
The left marginal veins are also referred to as lateral veins. This set of veins can be
further subdivided to antero-lateral, left lateral, and postero-lateral veins depending
on their position on the heart.