Circumflex branch of left coronary artery
|Artery: Circumflex branch of left coronary artery|
|Base and diaphragmatic surface of heart. (Circumflex branch not visible, but would be near the coronary sinus.)|
|Base of ventricles exposed by removal of the atria. (Circumflex branch not visible, but bifurcation of left coronary artery visible at left.)|
|Latin||ramus circumflexus arteriae coronariae sinistrae|
|Supplies||posterolateral left ventricle, anterolateral papillary muscle, the sinoatrial nodal artery in 38% of people.|
|Source||left coronary artery|
|Branches||left atrial branch
left marginal artery
sinuatrial nodal artery (in some people)
posterior interventricular artery (in some people)
The circumflex artery curves to the left around the heart within the coronary sulcus, giving rise to one or more left marginal arteries (also called obtuse marginal branches (OM)) as it curves toward the posterior surface of the heart. It helps form the posterior left ventricular branch or posterolateral artery. The circumflex artery ends at the point where it joins to form to the posterior interventricular artery in 15% of all cases, which lies in the posterior interventricular sulcus. In the other 85% of all cases the posterior interventricular artery comes out of the right coronary artery.
It also supplies the sinoatrial nodal artery in 38% of people.
It supplies 15-25% of the left ventricle in right-dominant systems. If the coronary anatomy is left-dominant, the LCX supplies 40-50% of the left ventricle. (See Coronary circulation for description of dominance.)
- SUNY Figs 20:03-03 - "Anterior view of the heart."
- SUNY Figs 20:04-01 - "Posterior view of the heart."
- Anatomy photo:20:09-0104 at the SUNY Downstate Medical Center - "Heart: The Left Coronary Artery and its Branches"
- -442892231 at GPnotebook
- circumflex+branch+of+left+coronary+artery at eMedicine Dictionary
- Image at merck.com
- Overview and diagrams at cardiologysite.com
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