The clinical anatomy of coronary arteries / M. von Lüdinghausen.

Format:

Book

Author/Creator:

Lüdinghausen, M. von (Michael), 1941-

Series:

Advances in anatomy, embryology, and cell biology 0301-5556 ; v. 167.

Advances in anatomy, embryology, and cell biology, 0301-5556 ; v. 167

Language:

English

Subjects (All):

Coronary arteries--Anatomy.

Coronary arteries.

Coronary arteries--Abnormalities.

Coronary arteries--Variation.

Coronary Vessels--pathology.

Coronary Angiography.

Coronary Disease--diagnosis.

Anatomy.

Medical Subjects:

Coronary Vessels--pathology.

Coronary Angiography.

Coronary Disease--diagnosis.

Physical Description:

viii, 115 pages : illustrations ; 24 cm.

Other Title:

Clinical anatomy of the coronary arteries

Place of Publication:

Berlin ; New York : Springer-Verlag, [2003]

Summary:

This work is not an anatomy atlas or textbook nor is it an angiography atlas; it is a short and comprehensive survey of the many variations of the intrinsic cardiac vessels. The reader's attention is focused on the manifold structural details and peculiarities of the human coronary arteries. The numerous unique features have been revealed by meticulous dissection and present an excellent documentation of this area. This study is an up-to-date review of the morphology of the coronary arteries.

Contents:

1.2 The Cardiac Vascular Systems: The Coronary Arteries and Cardiac Veins 2

2 The Significance of the Proper Vessels of the Human Heart in Statistics and Diagnostics 5

2.1 Angiography 6

2.2 MR Imaging 7

2.3 Ultrafast MR Imaging 7

2.4 Coronary MR Angiography 7

2.5 Conventional and Ultrafast Computed Tomography (Cardio-CT) 8

3.1 English and Latin Versions 9

3.3 Commonly Used Unofficial or Alternative Terms and Synonyms 13

4 Results and Discussions 15

4.1 The Anatomy of Coronary Arteries in General 15

4.1.1 The Right Coronary Artery 18

4.1.2 The Conus Branch 18

4.1.3 Further Ramification of the Right Coronary Artery 19

4.1.4 The Posterior Interventricular Artery 20

4.1.5 Segmentation of the Right Coronary Artery 20

4.1.6 The Left Coronary Artery 21

4.1.7 The Anterior Interventricular Artery 27

4.1.8 The Median (Intermedian) Branch 28

4.1.9 The Circumflex Artery 28

4.2 Peculiarities of the Origin of the Coronary Arteries 29

4.2.1 The Location of the Right and Left Coronary Orifices in the Aortic Sinuses 29

4.2.2 The Lengths and Diameters of the Major Coronary Arteries 32

4.2.3 Three-Dimensional Orientation on the Coronary Stems, Angles of Origin of the Coronary Arteries and Angle of Division of the LCA 33

4.2.4 Variable and Anomalous Coronary Ostia and Courses 34

4.2.5 Limited Number of Coronary Ostia: A Single Ostium for a Single Coronary Artery in the Left or Right Aortic Sinus 35

4.2.6 Greater Number of Ostia in the Left and Right Aortic Sinus 38

4.2.7 Aberrant or Ectopic (Superior) Origin, "High Take-off" of a Coronary Artery 41

4.2.8 Deep (Inferior) Origin, "Low Take-Off" of a Coronary Artery 43

4.3 Coronary Dominance or Preponderance 45

4.3.1 Balanced or Intermediate Type of Coronary Distribution 47

4.3.2 Dominant Right Coronary Artery 48

4.3.3 Dominant Left Coronary Artery 48

4.4 Intramural (Intramyocardial) and Intraluminal Courses of the Coronary Arteries 52

4.4.1 Intramural Courses of Ventricular Branches 53

4.4.2 Long Intramural Courses 53

4.4.3 Subendocardial, Intraluminal, or Intracavitary Courses 55

4.5 Atrial Branches and the Arterial Supply of the Conduction System 55

4.5.1 The Arterial Supply of the Sinuatrial Node 56

4.5.2 Arterial Supply of Interatrial and Internodal Pathways 58

4.5.3 Arterial Supply of the Atrioventricular Node 58

4.5.4 Arterial Supply of the Common AV Bundle and Proximal Right and Left Bundle 60

4.5.5 The Extracardiac Noncoronary Arteries 61

4.6 Arterial Supply of the Interventricular Septum 64

4.6.1 The Anterior Interventricular Septal (Perforator) Branches 64

4.6.2 The Left Superior Septal Branch or First Anterior Septal Branch 69

4.6.3 The Posterior Interventricular Septal Branches 69

4.6.4 The Right Superior Septal Branch 70

4.6.5 Arterial Supply of the Right Bundle and Moderator Band 70

4.6.6 The Arterial Supply of the Papillary Muscles 71

4.7 Blood Supply to the Coronary Arteries (Vasa Vasorum) 72

4.8 Coronary Anastomoses and Collaterals 72

4.8.1 Anastomoses in the Ventricular Walls 75

4.8.2 Anastomoses in the Atrial Walls 75

4.8.3 Endomural (Subendocardial) Anastomoses 75

4.8.4 Intracoronary (Homocoronary) Anastomoses 76

4.8.5 Intercoronary Anastomoses and Collaterals 76

4.8.6 Noncoronary Extracardiac Anastomoses to Atrial Arteries 77

4.8.7 The Significance and Evaluation of Anatomically or Angiographically Demonstrated Anastomoses and Collaterals 78

4.8.8 Collaterals in Patients with Ostial and Coronary Spasm 80

4.9 The Coincidence of Coronary Artery Anomalies and Atherosclerosis 80

4.9.1 Anomalous Coronary Arteries with Aortic Origin 80

4.9.2 Anomalous Coronary Arteries with Pulmonary Trunk Origin 81

4.10 Age-Related and Atheromatous Coronary Calcifications 81

4.10.1 Coronary Calcifications 81

4.10.2 Age-Related (Nonatheromatous) Calcifications in the Coronary Arteries 82

4.10.3 Atheromatous Calcifications in the Coronary Arteries 82

4.10.4 Coronary Calcifications in Heart Specimens of Subjects from the Dissection Room 83

4.10.5 Evaluation and Measurement of Calcifications 83

4.10.6 Multiple Coronary Aneurysmata 87

4.11 Anatomical Aspects of Surgical Interventions in Coronary Atherosclerosis 87

4.11.1 Surgical Treatment of Coronary Atherosclerosis 87

4.11.2 Aorto-Coronary Bypass: Sites of Aortic Anastomoses 88

4.11.3 Aorto-Coronary Bypass: Sites of Coronary Artery Anastomoses 88

5.1 Individual Coronary Anatomy 89

5.1.1 Coronary Artery Dominance 89

5.1.2 Right Ventricular Branches of the AIA 90

5.1.3 Atrial Branches 90

5.1.4 Unusual Short Stem of the LCA 91

5.1.5 Normally or Anomalously Coursing Coronary Arteries in Valve Surgery 91

5.1.6 Single Coronary Artery 91

5.1.7 Multiple Ostia in the Aortic Sinuses 92

5.1.8 Ectopic "High" Origin 92

5.1.9 Ectopic "Deep" Origin 92

5.1.10 Myocardial Bridge and Intramyocardial (Intramural) Course 92

5.1.11 Interventricular and Coronary Sulci Without an Epimural Artery 93

5.1.12 Intra-, Inter-, and Noncoronary Extracardiac Anastomoses and Collaterals 93

5.1.13 Coronary Artery Calcification 94

5.1.14 Evaluation and Interpretation 95.

Notes:

Includes bibliographical references (pages 99-111) and index.

ISBN:

3540436898

OCLC:

50156065