The posterior ventricular branches of the coronary arteries in the human heart. 2004

José Roberto Ortale, and Luisa Carolina Borges Keiralla, and Luciana Sacilotto
Pontifícia Universidade Católica de Campinas, Campinas, SP, Brazil. ortalejr@uol.com.br

OBJECTIVE To describe the trajectory of the posterior ventricular branches of the coronary arteries in the epicardial adipose tissue, and to propose a new criterion for analyzing the distribution of these branches, according to the traditional classification, to determine the predominance or balance of the coronary arteries in the arterial supply to the heart. METHODS Forty hearts obtained from autopsies of adults were dissected and fixed in a formol solution. The posterior face of each ventricle was divided into 8 approximately equal areas for the morphological classification of the coronary circulation. The following 3 traditional types were considered: A) right dominance, B) balanced, and C) left dominance. The number, diameter, and terminal areas of the posterior ventricular branches in the epicardium were analyzed. RESULTS The following branches and respective frequencies were found: left marginal branch -- 100%; posterior left ventricular branches: lateral -- 75%, intermediate -- 82.5%, and medial -- 87.5%; interventricular posterior branch -- 95%; posterior right ventricular branch: medial -- 40%, intermediate -- 32.5%, and lateral -- 40%; posterior diagonal branch of the right ventricle -- 17.5%; right marginal branch -- 95%. In regard to dominance, the following values were found: dominance of the right coronary artery -- 62.5%; balanced type -- 25%; and dominance of the left coronary artery -- 12.5%. CONCLUSIONS The method adopted allowed a more precise classification of the types of coronary artery distribution found. The right coronary artery dominance type was the most prevalent, followed by the balanced type and the left coronary artery dominance.

UI MeSH Term Description Entries
D003326 Coronary Circulation The circulation of blood through the CORONARY VESSELS of the HEART. Circulation, Coronary
D003331 Coronary Vessels The veins and arteries of the HEART. Coronary Arteries,Sinus Node Artery,Coronary Veins,Arteries, Coronary,Arteries, Sinus Node,Artery, Coronary,Artery, Sinus Node,Coronary Artery,Coronary Vein,Coronary Vessel,Sinus Node Arteries,Vein, Coronary,Veins, Coronary,Vessel, Coronary,Vessels, Coronary
D006352 Heart Ventricles The lower right and left chambers of the heart. The right ventricle pumps venous BLOOD into the LUNGS and the left ventricle pumps oxygenated blood into the systemic arterial circulation. Cardiac Ventricle,Cardiac Ventricles,Heart Ventricle,Left Ventricle,Right Ventricle,Left Ventricles,Right Ventricles,Ventricle, Cardiac,Ventricle, Heart,Ventricle, Left,Ventricle, Right,Ventricles, Cardiac,Ventricles, Heart,Ventricles, Left,Ventricles, Right
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001163 Arteriovenous Anastomosis A vessel that directly interconnects an artery and a vein, and that acts as a shunt to bypass the CAPILLARY BEDS. Not to be confused with SURGICAL ANASTOMOSIS or ARTERIOVENOUS FISTULA. Arteriovenous Anastomoses,Anastomose, Arteriovenous,Anastomoses, Arteriovenous,Anastomosis, Arteriovenous,Arteriovenous Anastomose

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