Coronary circulation Flashcards

1
Q

بسم الله مجريها ومرساها

A

ربنا عليك توكلنا وإليك أنبينا وإليك المصير

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2
Q

سؤال التحنيك العالمي بتاع دكاترة الاناتومي @@

What are the branches of the ascending aorta?

A

Right and left coronaries

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3
Q

origin of the right coronary

origin of left

A

anterior aortic sinus of ascending aorta

posterior aortic sinus of ascending aorta larger than right and major supply of heart

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4
Q

the companioin vein of posterior inteventricular artery ?

A

middle cardiac vein !

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5
Q

Describe the right coronary artery

A

aris from the anterior aortic sinus of ascending aorta
passes between the pulmonart trunk and right auricle giving the SAN BRANCH 65% AND The right conus artery to the infidunlum of the right ventricle the conus arteriosus and giver ventricular and atrial branches and gives the right marginal artery which runs in the inferior border of the heart to the apex
and then turns round and contiuines in the posterior side giving atrical and ventricular branches and the posterior interventricular artery and ends by anastomsing with circmflex of the left coronary
the posterior interventricular supplies the
1-AVN 80%
2-BOTH VENTRICULAR SIDES
3-THE POST 1/3 OF THE INTERVENTRICULAR SEPTUM
IT IS FRIEND OF THE MIDDLE CARDIAC VEIN

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6
Q

the posterior interventricular supplies the

A

1-AVN 80%
2-BOTH VENTRICULAR SIDES
3-THE POST 1/3 OF THE INTERVENTRICULAR SEPTUM
IT IS FRIEND OF THE MIDDLE CARDIAC VEIN

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7
Q

RT CORONARY passes between the pulmonart trunk and right auricle giving BRANCHES?

A

the SAN BRANCH 65% AND The right conus artery to the infidunlum of the right ventricle the conus arteriosus and giver ventricular and atrial branches

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8
Q

RT CORONARY in the inferior border GIVES ?

A

gives the right marginal artery which runs in the inferior border of the heart to the apex

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9
Q

RT CORONARY turns round and contiuines in the posterior side giving ?

A

and then turns round and contiuines in the posterior side giving atrical and ventricular branches and the posterior interventricular artery and ends by anastomsing with circmflex of the left coronary
the posterior interventricular supplies the
1-AVN 80%
2-BOTH VENTRICULAR SIDES
3-THE POST 1/3 OF THE INTERVENTRICULAR SEPTUM
IT IS FRIEND OF THE MIDDLE CARDIAC VEIN

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10
Q

Describe the left coronary artery

A

it arises from the posterior aortic sinus of the ascending aorta passes behind the pulmonart trunk and then behind it and the left auricle giving the 2 branches
1-the anterior interventricular branch LAD 2- Circumflex artery
the anteriro intervenriuclar artery contiue desinding giving the left conus artery to the infindubulum and atrial and ventrcular branches and supplies the ant 2/3 interventricular septum end by anastomising with posterior interventricular septum
it supplies the apex of the heart!
ENDS by anastomisis with posteriro interventicular
the circumflex artery gives many branches like
the left marginal artery which supply left ventricle
the SAN IN 35%
THE AVN IN 20%
atrial and ventricular
end by anstomsing with the righr coronary artery

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11
Q

the circumflex artery gives many branches like

A

the left marginal artery which supply left ventricle
the SAN IN 35%
THE AVN IN 20%
atrial and ventricular
end by anstomsing with the righr coronary artery

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12
Q

Coronaries importance for the pulmnart trunk and ascending aorta?

A

they give vasa vasorum

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13
Q

the right and left bundle branches are supplied by >?

A

the right bundle branch by the left coronary

the left bundle branch by the right and left coronary

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14
Q

the companion vein of LAD ?

A

The great cardiac vein

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15
Q

the collateral are ?

A

Anatomical not physiological especially in cases of the large branch occlusion there is no compenstaion leading to MI !

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16
Q

VENOUS DRAINAGE OF THE HEART ?

A

the coronary sinus
the anterior cardiac vein
vena cordis minmi

17
Q

comparison of RCA AND LCA

A
RCA :معتدي 
 Right atrium and part of left 
atrium.
Most of right ventricle.
Part of diaphragmatic surface 
of left ventricle.
Posterior 1/3 of 
interventricular septum
SA node in 65% of cases
AV node in 80% of cases
AV bundle
LCA:
Most of left atrium.
Most of Left ventricle.
Part of anterior surface of 
right ventricle.
Anterior 2/3 of 
interventricular septum 
SA node in 35% of cases
AV node in 20% of cases
Right and left bundle 
branches
18
Q

DESCRIBE CORONARY SINUS

A

FOUND between the left atrium and left ventricle wide venous channels 3cm from left to the right and open into RA just to the left of the IVC opening
and its open is guarded by a small valve

19
Q

Great cardiac vein describe ?

A

it is the companion of the LAD and it end in the left of coronary sinus

20
Q

Descrbie the middle cardiac vein

?

A

it is the companion of posterior interventricular artery and ends in the coronary sinus

21
Q

The small cardiac vein describe ?

A

it passes in the right posterior interventricular groove companino of RCA and ends at right end of coronary sinus and this may receive the Right marginal veins , which may open directly into the right atrium

22
Q

Posterior vein of left venrticle ?

A

Ascends in the diaphramtic surface of heart to mid of the coronary sinus

23
Q

The oblique vein of left atrium

A

descends on the back of left atrium to reach the coronary sinus

24
Q

tributarie of coronary sinus ?

A

the great middle small cardiac vein 3
the posterior vein of left ventricle
the oblique vein of left atrium

25
Q

anteriro cardiac veins describe ?

A

2-5 veins asneds on the right ventricle to open dieectly on the right artium

26
Q

Vena cordi minimi describe?

A

they are small miute veins in the myocardium of the heart opeining directly on the chambers ! espcially
Right artrum and ventricle

27
Q

the lymphatic drainage of heart?

A

the subendocardial and myocardial drains into subepicardial giving effernts forming trunks
Right to the brachiocephalic LN
Left to the inferiortracheobrhoical LNO

28
Q

( العالمـــــــــــــــــــــــــ (وقيل الحمـــــــــــــــــــد لله رب) ـيـــــــــــــــــــــــــــــــــــــــن)

A