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Cardiology Wellington > Coronaries + angio > Flashcards

Coronaries + angio Flashcards

1
Q

Outline basics L coronary

A

Coronaries sit under pericardium

Left main coronary
1) LAD
-> Septal branches (perfusing septum)
-> Diagonal branches (usually 2 perfusing anteriolateral segment)
-> Distal segment (apical)
2) L circumflex
->L atrial
-> Obtuse marginal (L marginal - usually 2)-
1 - Proximal perfusing anteriorlateral LV
2 - Inferiorlateral / posterior LV

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2
Q

Outline basics R coronary

A

Right coronary
1) Conus artery - perfuses RV outflow tract and anterior RV wall
2) SA nodal artery (in 60%)
3) R atrial branch
4) Acute (right) marginal (sometimes multiple branches perfusing RV)
5) AV nodal artery
Then bifurcates into
1) Right posteriorlateral artery (RPL) - inferiolateral/ posteriorlateral wall
2) Posterior descending artery (PDA) - Interventricular septum (posterior part)

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3
Q

Where does the ramus atery (common variant) come from?

A

L main in between LAD / OM1

Perfuses same as OM1 / high diagonal branches (Anteriolateral LV)

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4
Q

Where does SA nodal artery come from?

A

R coronary in 60%
L circumflex in most others

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5
Q

Where does AV nodal artery come from

A

Usually R coronary
L circumflex in some

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6
Q

What does dominance mean with regard to coronaries

A

Where posterior descending artery comes from (right or left)
3 options:

1) RPDA (most common) - R coronary
2) LPDA - L circumflex
3) Co-dominant due to anastamosis between both

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7
Q

Where do the coronary veins drain into? Other main coronary veins draining into this?

A

Coronary sinus ( posterior side of heart) -> drains into R atrium

Posterior side
1) Small cardiac vein (adjacent to acute (right) marginal)
2) Middle cardiac vein (adjacent to PDA) (RV)
3) Posterior cardiac vein (posterior ventricles)

Anterior side
1) Great cardiac vein -Adjacent to LAD - LV
2) Anterior vein (RA/RV - anterior segments)

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8
Q

Which cardiac vein doesn’t drain into coronary sinus

A

Anterior - directly into RA

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9
Q
A

Left (main) coronary artery (LCA, LMCA)
Left anterior descending artery (LAD)
First diagonal artery (D1)
First septal artery (S1)
Circumflex artery (LCx, Cx)
First (obtuse) marginal (M1)

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10
Q
A

7 Right coronary artery (RCA)
8 acute marginal artery (AM1)
9 Posterior descending artery (PDA)
10 Posterior left ventricular artery (PLV)

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11
Q
A

7 Right coronary artery (RCA)
8 First acute marginal artery (AM1)
9 Posterior descending artery (PDA)
10 Posterior left ventricular artery (PLV)

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12
Q
A

7 Right coronary artery (RCA)
8 First acute marginal artery (AM1)
9 Posterior descending artery (PDA)
10 Posterior left ventricular artery (PLV)

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13
Q
A
  1. Left (main) coronary artery (LCA, LMCA)
  2. Left anterior descending artery (LAD)
  3. First diagonal artery (D1)
  4. First septal artery (S1)
  5. Circumflex artery (LCx, Cx)
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14
Q
A
  1. Left (main) coronary artery (LCA, LMCA)
  2. Left anterior descending artery (LAD)
  3. First diagonal artery (D1)
  4. First septal artery (S1)
  5. Circumflex artery (LCx, Cx)
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15
Q
A
  1. Left (main) coronary artery (LCA, LMCA)
  2. Left anterior descending artery (LAD)
  3. First diagonal artery (D1)
  4. First septal artery (S1)
  5. Circumflex artery (LCx, Cx)
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16
Q

What view is this

A

Left anterior oblique 45 degree caudal 25 degree
[spider view - LAO 45 C25]

17
Q

View? Name the arteries?
Pros of this view?

A

LAO 45 Caudal 25 (spider view)

Visulise proximal LAD and LCx
[Poor for distal left system]

18
Q

What view is this

A

AP 0 degrees caudal 30

19
Q

View? Name the arteries?
Pros of this view?

A

AP 0 degrees caudal 30

Good for proximal LCx and obtuse marginal bifurcations

20
Q

What view is this

A

RAO 45, Caudal 30

21
Q

View? Name the arteries?
Pros of this view?

A

RAO 45, caudal 30

Proximal LAD and proximal to mid LCx

22
Q

View is this

A

RAO 45, Cranial 25

23
Q

View? Name the arteries?
Pros of this view?

A

RAO 45, Cranial 25
Best for LAD and septal branches

24
Q

What view is this

A

AP 0, Cranial 30 degrees

25
Q

View? Name the arteries?
Pros of this view?

A

AP 0 degrees, cranial 30 degrees

Best for the distal part of left main and ostium of LAD

26
Q

Which view is this

A

LAO 45, Cranial 25 degrees

27
Q

View? Name the arteries?
Pros of this view?

A

Best for ostium of L Main
Mid and distal LAD

28
Q

What view is this

A

Left lateral - LAO 90 Degrees

29
Q

View? Name the arteries?
Pros of this view?

A

Lateral
Good for cardiac path of LAD

30
Q

View?

A

LAO 45

31
Q

View? Name the arteries?
Pros of this view?

A

LAO 45
Full length of RCA (in C shape)

32
Q

View? Name the arteries?
Pros of this view?

A

Lateral

Ostial lesions and mid RCA

33
Q

View? Name the arteries?
Pros of this view?

A

AP 0 Cranial 15
Distal RCA Bifurcation
Proximal PDA and posteriolateral branches

34
Q
A

LAO 30, cranial 20

35
Q

View? Name the arteries?
Pros of this view?

A

LAO 30, cranial 20

Good for distal RCA bifurcation

36
Q
A

Cardiology Wellington (9 decks)

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