coronary_artery_supply_domain冠状动脉课件.pptVIP

A: Anterior infarct, which follows occlusion of the anterior descending branch (left anterior descending [LAD]) of the left coronary artery. The infarct is located in the anterior wall and adjacent two thirds of the septum. It involves the entire circumference of the wall near the apex. C: Posterolateral infarct, which follows occlusion of the left circumflex artery and is present in the posterolateral wall. The left main coronary artery bifurcates within 1 cm of its origin into the left anterior descending (LAD) and left circumflex coronary arteries. The left circumflex coronary artery rests in the left atrioventricular groove and supplies the lateral wall of the left . The LAD coronary artery lies in the anterior interventricular groove and provides blood to the (1) anterior left ventricle, (2) adjacent anterior right ventricle and (3) anterior half to two thirds of the interventricular septum. In the apical region, the LAD artery supplies the ventricles circumferentially. A posterior (“inferior” or “diaphragmatic”) infarct results from occlusion of the right coronary artery and involves the posterior wall, including the posterior third of the interventricular septum and the posterior papillary muscle in the basal half of the ventricle. The right coronary artery travels along the right atrioventricular groove and nourishes the bulk of the right ventricle and posteroseptal left ventricle, including the posterior third to half of the interventricular septum at the base of the heart (also referred to as the “inferior” or “diaphragmatic” wall). Most of cases are right coronary–dominant distribution that contributes most of the blood to the posterior descending coronary artery. Ten percent of human hearts display a left-dominant pattern, with the left circumflex coronary artery supplying the posterior descending coronary artery.