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Coronary Artery

AORTA

Left Mar
Left Coronary Artery
(from left
(follows
aorticthe
sinus)
left margin of the h
Right Coronary Artery
(from right aortic sinus)

Anterior IV Branch
Circumflex Branch of Left Co
(commonly anastomoses
with the
posterior
(follows
adjacent
theparts
coronary
of both
groove
ventricles
aroundand,
the via
leftIV
border
septalofbran
the
Sinuatrial
Nodal
BranchIV branch of the right coronary artery. Supplies
(supply SA node)

Right Marginal Branch


Lateral (Diagonal) Branch
(supply right border of heart) (descends on the anterior surface of the heart)

Atrioventricular Branch
(supply AV node)
Posterior Interventricular Branch
(supplies adjacent areas of both ventricles and sends perforating interventricular septal branches into the IV septum)

Arterial Supply to Heart


Course
Distribution
Anastomoses
Follows coronary (AV)
Right atrium, SA and AV
Circumflex and anterior
groove between atria
nodes, and posterior part of IV branches of left
and ventricles
IVS
coronary artery
SA nodal
Right coronary artery Ascends to SA node
Pulmonary trunk and SA
near its origin (in
node
60%)
Right marginal Right coronary arteryPasses to inferior margin Right ventricle and apex of IV branches
of heart and apex
heart
Posterior
Right coronary artery Runs in posterior IV
Right and left ventricles andAnterior IV branch of
interventricular (in 67%)
groove to apex of heart posterior third of IVS
left coronary artery (at
apex)
AV nodal
Right coronary artery Passes to AV node
AV node
near origin of
posterior IV artery
Left coronary Left aortic sinus
Runs in AV groove and Most of left atrium and
Right coronary artery
gives off anterior IV and ventricle, IVS, and AV
circumflex branches
bundles; may supply AV
node
SA nodal
Circumflex branch (in Ascends on posterior
Left atrium and SA node
40%)
surface of left atrium to
SA node
Anterior
Left coronary artery Passes along anterior IV Right and left ventricles andPosterior IV branch of
interventricular
groove to apex of heart anterior two thirds of IVS
right coronary artery (at
apex)
Circumflex
Left coronary artery Passes to left in AV
Left atrium and left
Right coronary artery
groove and runs to
ventricle
posterior surface of
heart
Left marginal Circumflex branch
Follows left border of
Left ventricle
IV branches
heart
Posterior
Left coronary artery Runs in posterior IV
Right and left ventricles andAnterior IV branch of
interventricular (in 33%)
groove to apex of heart posterior third of IVS
left coronary artery (at
apex)
AV, atrioventricular; IV, interventricular; IVS, interventricular septum; SA, sinuatrial.
Artery/Branch Origin
Right
Right aortic sinus
coronary

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