Corpus: Left coronary artery

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Synonym: left coronary artery
'''English (LCA), left main coronary artery (LMCA)

Definition[Bearbeiten]

The arteria coronaria sinistra, or ACS for short, is one of the two coronary arteries of the heart.

Anatomy[Bearbeiten]

Course[Bearbeiten]

The arteria coronaria sinistra arises from the left aortic sinus behind the insertion of the aortic valve (valvula semilunaris sinistra). In about 75 % of cases, it is more pronounced than the right coronary artery. It runs a short distance between the conus arteriosus and the left auricle and then splits into two main branches:

  • Ramus circumflexus
  • Ramus interventricularis anterior

Branches[Bearbeiten]

  • Ramus circumflexus
    • Ramus nodi sinuatrialis
    • Ramus atrioventriculares
    • Ramus marginalis sinister (ramus marginalis)
    • Ramus atrialis sinister (intermedius)
    • Ramus atrialis anastomoticus (globular artery)
    • Ramus posterior ventriculi sinistri (ramus posterolateralis sinister)
  • Ramus interventricularis anterior (RIVA, LAD)
    • Ramus coni arteriosi
    • Ramus lateralis (Ramus diagonalis, Ramus anterolateralis)
    • Rami interventriculares septales (Rami septales anteriores)

Supply area[Bearbeiten]

The left coronary artery supplies the following structures of the heart in particular:

  • left atrium
  • left ventricle
  • parts of the anterior wall of the right ventricle
  • anterior two thirds of the ventricular septum

see main article: Coronary artery

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