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Dr
Olariu Ioan
.
1. Artera coronara stanga(ACS)- TACS (1020mm lungime si diametrul de 3-6mm) ia
nastere din sinusul coronar stang deasupra
valvei aortice si de obicei se divide in:
- Artera descendenta anterioara(ADA)
- Artera circumflexa(ACX).
Uneori TACS se divide in trei ramuri: ADA,
ACX si un ram intermediar.
2. Artera coronara dreapta.
In dominanta dreapta ACD iriga: peretele inferior al VS, SIV inferior, NAV,
ramul drept si portiunea posteriora al ramului stang al fasciculului HIS,
muschiul papilar postero-medial.
Angiografic se imparte in 3 segmente:
-Segmentul I (de la origine pana la prima curbura).
-Segmentul II (de la prima curbura pana la a doua curbura)
- Segmentul III (de la cea de-a doua curbura pana la crux cordis)
Anatomia coronariana
Notiunea de dominanta
Artera
Sistem
Dominanta coronariana
Four possible pathways of the anomalous left coronary artery arising from the right
coronary sinus (R): A, Interarterial (between the aorta and the pulmonary artery [PA]); B,
retroaortic; C, prepulmonic; and D, septal (beneath the right ventricular outflow tract). L =
left coronary sinus, N = non-coronary sinus.The right coronary artery has a normal origin
from the right coronary sinus (curved arrow) but the left anterior descending artery arises
from the right coronary cusp and courses beneath the pulmonary artery (straight arrow). F,
The left anterior descending artery arising from the right coronary sinus and taking a septal
Anomalous origin of the left coronary artery (LCA) from the pulmonary artery. A to
C, The thoracic aortogram shows a large right coronary artery (RCA) and no
antegrade filling of the LCA. The LCA fills primarily through extensive collaterals
from the RCA to the LADA (straight arrows). The anomalous origin of the LCA from
the pulmonary artery is demonstrated in late phases of the aortogram (C, curved
arrow).
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