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Coronary sulcus

From Wikipedia, the free encyclopedia
Groove on the surface of the heart that separates the atria from the ventricles
Coronary sulcus
Details
Identifiers
Latinsulcus coronarius
TA98A12.1.00.011
TA23945
FMA7174
Anatomical terminology

Thecoronary sulcus (also calledcoronary groove,auriculoventricular groove,atrioventricular groove,AV groove) is agroove on the surface of theheart at the base of right auricle that separates theatria from theventricles.[1][2] The structure contains the trunks of thenutrient vessels of the heart,[2] and is deficient in front, where it is crossed by the root of thepulmonary trunk. On the posterior surface of the heart, the coronary sulcus contains thecoronary sinus.[3] Theright coronary artery,circumflex branch of left coronary artery, andsmall cardiac vein all travel along parts of the coronary sulcus.

Structure

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In relation to therib cage, the coronary sulcus spans from the medial side of the 3rd leftcostal cartilage, to the middle of the right 6th costal cartilage.[1]Epicardialfat tends to be concentrated along the coronary sulcus.[4][5]

There are two coronary sulci in the heart, including left and right coronary sulci.

Left coronary sulcus

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The left coronary sulcus originates posterior to thepulmonary trunk, and travels inferiorly separating the left atrium and left ventricle. The location of the left coronary sulcus is marked by thecircumflex branch of left coronary artery, andcoronary sinus.[6]

Right coronary sulcus

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The right coronary sulcus begins anteriorly and superiorly on the sternocostal surface of the heart. Its position is marked by the location of theright coronary artery, andsmall cardiac vein. The right coronary sulcus separates the rightatrium and itsatrial appendage from the rightventricle inferiorly. The right coronary sulcus then passes inferiorly onto the diaphragmatic surface of the heart and traverses to the left.

Clinical significance

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The left coronary sulcus is often neglected in echocardiography. As a result, normal variations and rare pathologic findings can be missed.[7]

See also

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References

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Public domainThis article incorporates text in thepublic domain frompage 526 of the 20th edition ofGray's Anatomy(1918)

  1. ^abJavadikasgari, Hoda; Gillinov, A. Marc; Mick, Stephanie; Mihaljevic, Tomislav; Suri, Rakesh M. (2019-01-01), Sellke, Frank W.; Ruel, Marc (eds.),"Chapter 21 - Robotic Mitral Valve Surgery",Atlas of Cardiac Surgical Techniques (Second Edition), Elsevier, pp. 347–363,doi:10.1016/b978-0-323-46294-5.00021-2,ISBN 978-0-323-46294-5,S2CID 81803257, retrieved2020-11-16
  2. ^abHargaden, Maureen; Singer, Laura (2012-01-01), Suckow, Mark A.; Stevens, Karla A.; Wilson, Ronald P. (eds.),"Chapter 20 - Anatomy, Physiology, and Behavior",The Laboratory Rabbit, Guinea Pig, Hamster, and Other Rodents, American College of Laboratory Animal Medicine, Boston: Academic Press, pp. 575–602,doi:10.1016/b978-0-12-380920-9.00020-1,ISBN 978-0-12-380920-9, retrieved2020-11-16
  3. ^Antonopoulos, Alexios S.; Siasos, Gerasimos; Antoniades, Charalambos; Tousoulis, Dimitris (2018-01-01), Tousoulis, Dimitris (ed.),"Chapter 2.1 - Functional Anatomy",Coronary Artery Disease, Academic Press, pp. 121–126,doi:10.1016/b978-0-12-811908-2.00008-8,ISBN 978-0-12-811908-2, retrieved2020-11-16
  4. ^Issa, Ziad F.; Miller, John M.; Zipes, Douglas P. (2019-01-01), Issa, Ziad F.; Miller, John M.; Zipes, Douglas P. (eds.),"27 - Epicardial Ventricular Tachycardia",Clinical Arrhythmology and Electrophysiology (Third Edition), Philadelphia: Elsevier, pp. 907–924,doi:10.1016/b978-0-323-52356-1.00027-x,ISBN 978-0-323-52356-1, retrieved2020-11-16
  5. ^Frühbeck, G.; Gómez-Ambrosi, J. (2013-01-01),"Adipose Tissue: Structure, Function and Metabolism", in Caballero, Benjamin (ed.),Encyclopedia of Human Nutrition (Third Edition), Waltham: Academic Press, pp. 1–13,doi:10.1016/b978-0-12-375083-9.00001-5,ISBN 978-0-12-384885-7, retrieved2020-11-16
  6. ^Ruberte, J.; Navarro, M.; Carretero, A.; König, H. E. (2017-01-01), Ruberte, Jesús; Carretero, Ana; Navarro, Marc (eds.),"11 - Circulatory System",Morphological Mouse Phenotyping, Academic Press, pp. 269–347,doi:10.1016/b978-0-12-812972-2.50011-8,ISBN 978-0-12-812805-3, retrieved2020-11-16
  7. ^Zuber, M.; Oechslin, E.; Jenni, R. (1998). "Echogenic structures in the left atrioventricular groove: diagnostic pitfalls".Journal of the American Society of Echocardiography.11 (4):381–386.doi:10.1016/S0894-7317(98)70107-5.ISSN 0894-7317.PMID 9571589.

External links

[edit]
Anatomy of theheart
General
Surface
Internal
Chambers
Right heart
Left heart
Layers
Endocardium
Myocardium
Pericardial cavity
Pericardium
Blood supply
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