Posterior interventricular artery - Wikipedia, the free encyclopedia

7/17/15, 15:09

Posterior interventricular artery

From Wikipedia, the free encyclopedia

Posterior interventricular artery

descending artery not visible, but it runs near the middle cardiac vein, which is labeled at the bottom.)

ARTERIES:
RCA = right coronary
AB = atrial branches
SANB = sinuatrial nodal
RMA = right marginal
LCA = left coronary
CB = circumflex branch
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Posterior interventricular artery - Wikipedia, the free encyclopedia

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LAD/AIB = anterior interventricular

LMA = left marginal
PIA/PDA = posterior descending
AVN = atrioventricular nodal
VEINS:
SCV = small cardiac
ACV = anterior cardiac
AIV/GCV = great cardiac
MCV = middle cardiac
CS = coronary sinus
Details

Identifiers

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Tree/Entity%20TA98%20EN/12.2.03.108%20Entity%20TA98%20EN.htm)

Anatomical terminology

The posterior interventricular artery (PIV) or posterior descending artery (PDA) is an artery running in the
posterior interventricular sulcus to the apex of the heart where it meets with the anterior interventricular artery.
It supplies the posterior 1/3rd of the interventricular septum. The remaining anterior 2/3rds is supplied by the
anterior interventricular artery which is a septal branch of the left anterior descending artery, which is a branch
of left coronary artery.
It is typically a branch of the right coronary artery (70%, known as right dominance). Alternately, the PIV can
be a branch of the circumflex coronary artery (10%, known as left dominance) which itself is a branch of the
left coronary artery. It can also be supplied by an anastomosis of the left and right coronary artery (20%, known
as co-dominance).[2]
Variants have been reported.[3]
The anatomical position of the artery is not really posterior, but inferior. The terminology posterior is based on
viewing the heart from the "Valentine" position, not by the heart's actual position in the body. [4]

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Additional images

Coronary arteries (labeled in red text) and other

major landmarks (in blue text). Posterior
descending artery is labeled at left.

Human heart with

coronary arteries

References
1. Nerantzis CE, Lefkidis CA, Smirnoff TB, Agapitos EB, Davaris PS (November 1998). "Variations in the origin and
course of the posterior interventricular artery in relation to the crux cordis and the posterior interventricular vein: an
anatomical study". Anat. Rec. 252 (3): 4137. doi:10.1002/(SICI)1097-0185(199811)252:3<413::AID-AR9>3.0.CO;2-9
(https://dx.doi.org/10.1002%2F%28SICI%291097-0185%28199811%29252%3A3%3C413%3A%3AAIDAR9%3E3.0.CO%3B2-9). PMID 9811219 (https://www.ncbi.nlm.nih.gov/pubmed/9811219).
2. Fuster, V; Alexander RW; O'Rourke RA (2001). Hurst's The Heart (10th ed.). McGraw-Hill. p. 53. ISBN 0-07-135694-0.
3. Topaz O, Holdaway B, Bailey NT, Vetrovec GW (1997). "Anatomic variant of the posterior interventricular coronary
artery: implications for coronary angioplasty in acute myocardial infarction". Clin Anat 10 (5): 3036.
doi:10.1002/(SICI)1098-2353(1997)10:5<303::AID-CA2>3.0.CO;2-R
(https://dx.doi.org/10.1002%2F%28SICI%291098-2353%281997%2910%3A5%3C303%3A%3AAIDCA2%3E3.0.CO%3B2-R). PMID 9283726 (https://www.ncbi.nlm.nih.gov/pubmed/9283726).
4. http://onlinelibrary.wiley.com/doi/10.1111/j.0021-8782.2004.00330.x/full

External links
-456130501 (http://www.gpnotebook.co.uk/simplepage.cfm?ID=-456130501) at GPnotebook
Anatomy figure: 20:04-04 (http://ect.downstate.edu/courseware/haonline/figs/l20/200404.htm) at Human
Anatomy Online, SUNY Downstate Medical Center - "Posterior view of the heart."
Image (http://mywebpages.comcast.net/wnor/heartpostmajorvessels.jpg)
Image at guidant.com (http://www.guidant.com/condition/heart/images/figure11_lg.jpg)

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Categories: Cardiovascular system stubs Arteries of the thorax

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