Circumflex branch of left coronary artery
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| Artery: Circumflex branch of left coronary artery | |
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| Base and diaphragmatic surface of heart. (Circumflex branch not visible, but would be near the coronary sinus.) | |
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| 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 |
| Gray's | subject #142 547 |
| Source | left coronary artery |
| Branches | left atrial branch left marginal artery sinuatrial nodal artery (in some people) |
| Dorlands / Elsevier | r_02/12689380 |
| Cardiology Network |
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The "LCX", or left circumflex artery (or circumflex artery, or circumflex branch of the left coronary artery) follows the left part of the coronary sulcus, running first to the left and then to the right, reaching nearly as far as the posterior longitudinal sulcus.
The circumflex artery curves to the left around the heart within the coronary sulcus, giving rise to one or more diagonal or "obtuse marginal" branches 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 ten percent of all cases, which lies in the posterior interventricular sulcus. In the other 90% of all cases the posterior interventricular artery comes out of the right coronary artery.
It gives off obtuse marginal branches (OM).
Structures Supplied
The LCX supplies the posterolateral LV and the anterolateral papillary muscle.
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.)
External links
- SUNY Figs 20:03-03 - "Anterior view of the heart."
- SUNY Figs 20:04-01 - "Posterior view of the heart."
- SUNY Labs 20:09-0104 - "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
This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.
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Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
