Right Coronary Artery Flashcards
RCA
The RCA artery stands for the right coronary artery. It is one of the two main coronary arteries that supply blood to the heart muscle.
Location and Function:
The RCA originates from the right aortic sinus, above the right coronary valve.
It runs along the right side of the heart, supplying blood to the following structures:
Right atrium
Right ventricle
Posterior interventricular septum
Sinoatrial (SA) node (which controls the heart’s rhythm)
Importance:
The RCA is a crucial artery for maintaining a healthy heart. Any blockage or narrowing of this artery can lead to:
Myocardial infarction (heart attack), Angina pectoris (chest pain), and Heart failure.
Variations:
In some individuals, the RCA may give off a branch called the posterior descending artery, which typically supplies the posterior interventricular septum.
In others, the RCA may be the only coronary artery supplying the entire heart (single RCA syndrome).
Proximal RCA
Middle RCA
Acute Marginal
right marginal artery or right intermediate atrial branch.
The acute marginal artery is a branch of the right coronary artery that supplies blood to the right ventricle and right atrium of the heart. It’s also known as the right marginal artery or right intermediate atrial branch.
Function:
Supplies blood to the right ventricle, which pumps blood to the lungs
Supplies the right atrium and surrounding tissues
In some cases, supplies the main blood supply to the sinus node
Anatomy:
Originates from the right coronary artery at the acute right margin of the heart
Ascends over the anterolateral surface of the right atrium
Passes to the left along the acute margin of the right ventricle
Often anastomoses with the posterior interventricular artery
Other branches of the right coronary artery: Right posterior descending artery, Conus branch, Sinus node artery, and Diagonals that supply the anterior wall of the right ventricle.
The coronary arteries wrap around the outside of the heart and supply blood to the heart muscle.
posterior lateral (PL)
Anatomy of the Posterolateral Coronary Artery
The posterolateral coronary artery (PLB) is a branch of the right coronary artery (RCA) that supplies blood to the posterior and lateral walls of the left ventricle.
Location and Origin
The PLB typically originates from the RCA near the right atrioventricular groove.
It runs along the posterior interventricular septum, parallel to the posterior descending artery (PDA).
Branches
The PLB gives off several smaller branches that supply the following structures:
Posterior wall of the left ventricle
Lateral wall of the left ventricle
Posterior left ventricular papillary muscles
Function
The PLB provides oxygen and nutrients to the posterior and lateral walls of the left ventricle, which are essential for maintaining the pumping function of the heart.
It also supplies blood to the posterior interventricular septum.
Variations
In some individuals, the PLB may originate from the left circumflex artery instead of the RCA. This is known as left coronary dominance.
The size and location of the PLB can vary significantly between individuals.
Clinical Significance
The PLB is an important target for coronary angiography and revascularization procedures in patients with coronary artery disease.
Stenosis or occlusion of the PLB can lead to myocardial infarction (heart attack) in the posterior and lateral walls of the left ventricle.