Coronary artery dominance

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]


Coronary Artery Dominance

Describes how many of the three major branches supplying the inferior wall of the heart arise from the right coronary artery (RCA) and how many arise from the circumflex artery (CX).

Large right dominant

This occurs when the descending, inferior, and posterior branches all arise from the RCA.

Small right dominant

This occurs when the descending and inferior branches arise from the RCA and the posterior branch arises from the CX.

Co-dominant

This occurs when only the descending branch arises from the RCA, while the inferior and posterior branches arise from the CX.

Left dominant

This occurs when all three branches arise from the CX.


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