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BLOOD SUPPLY
of HEART
• Larger
• Passes behind the
pulmonary trunk
• b/w pulmonary trunk &
left auricle.
• divides into 2 branches
• Ant interventricular
artery
• Circumflex artery
1. Anterior interventricular artery……
Left anterior descending
(LAD) artery…..
Descends in anterior
interventricular
groove….
Terminates on inferior
surface- by
anastomosing –post
interventricular br of
right coronary artery
in the post
interventricular
groove
Branches…..
1. Left conus artery
(annulus of Vieussens)
2. Ventricular branches
-Rt ventricle adjoining
the ant Interventricular
groove
-left diagonal artery.
4. Septal branches
ant 2/3rd of the septum
2. Circumflex artery……..
Traverses left ant coronary sulcus – curves left border ;
left post. coronary sulcus. Finally ends left of crux to
establish anastomosis with right coronary artery.
Branches….
1. Left marginal artery
2. Ventricular branches.
3. Atrial branches-
• Kugel’s artery
4. SA nodal artery(35%)
Areas of distribution….
1. left atrium
2. Greater part left ventricle except Post Interventricular
Groove.
3. Small part right ventricle at Ant Interventricular Groove.
4. Ant 2/3rd of interventricular septum
5. Left branch of AV bundle.
Variations
a. Coronary sinus
b. Anterior cardiac veins
c. Venae cordis minimae (thebesian veins)
1.Coronary sinus…..
• 2 to 3cm long
• Situated – left posterior coronary sulcus
• Opens – right atrium.
• Valve- Thebasian valve
Tributaries are…..
1.Great cardiac vein
begins apex, ascends – AIG,
traverses – coronary sulcus.
It receives left marginal vein.
2.Small cardiac vein
passes along right posterior coronary
sulcus.
3.Middle cardiac vein
Begins – apex, traverses – PIG, ends – middle of
coronary sinus.
4.Posterior vein of left ventricle
Present on diaphragmatic surface of left ventricle.
5.Obligue vein of left atrium(vein of Marshall)
Descends obliquely – back of left atrium
2.Anterior cardiac veins…
Usually 2 or 3 in
number- parallel to
each other.
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TREATMENT:
– CORONARY DILATORS E.g. NITRATES
– BETA-BLOCKERS
– ANGIOPLASTY (DILATE AREA OF CONSTRICTION)
– STENT
– BYPASS SURGERY
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• Coronary Angiography
• Radiological proceedure-arteries are visualised
after injecting dye into them.
• Useful-localization of block.
• Proceedure-special catheter is passed -femoral
artery-base of ascending aorta-contrast media
injected and photographs are taken
PTCA (Percutaneous transluminal coronary angioplasty)
42
Question
• Blood supply of heart?
• Arterial and venous drainage.
Thanks for listening..