TY  - JOUR
A1  - ,  
T1  - A study of the distribution of the left coronary artery - clinical importance
JO  - Eur. J. Anat.
SN  - 1136-4890
Y1  - 2013
VL  - 17
SP  - 250
EP  - 256
UR  - http://www.eurjanat.com/web/paper.php?id=120177vb
KW  - Left coronary artery
KW  - Left anterior descending artery
KW  - Left circumflex artery
KW  - Left diagonal artery
KW  - SA nodal artery
KW  - AV nodal artery
KW  - Myocardial infarction
N2  - The object of the present work was to study the origin of the left coronary artery, its branches, and to note any variations in its distribution. Fifty human hearts were procured from dissection-room cadavers of adult age groups. The left coronary arteries were dissected meticulously; their individual branches and any variations encountered were noted. The left coronary artery was seen originating in relation to the left posterior aortic sinus in 100% of the specimens. The incidence of bifurcation of the left coronary artery was found in 64% and trifurcation in 36%. In 26% of hearts the circumflex branch of the left coronary artery crossed the crux, in 20% the SA Nodal artery, and in 24% the AV Nodal artery was seen as a branch of the circumflex artery. 2% incidence of retroaortic course of the left circumflex artery was observed. The left coronary artery and its branches are responsible for the irrigation of most of the left ventricle and part of the right ventricle. In case of trifurcation, where the left diagonal artery takes origin directly from the left coronary artery, the size of infarct on occlusion of the left anterior descending artery would be reduced. The left circumflex artery taking origin from the right sinus of Valsalva is an anomaly which may remain clinically silent, but at times it has been known to get compressed during valve replacement surgery, if not detected preoperatively. In hearts where both SA and AV nodal arteries originated from left coronary artery (8%), occlusion of the left coronary a could severely affect the conducting system. 
ER  -