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In the coronary circulation, the posterior descending artery (PDA), also called the posterior interventricular artery (PIV, PIA, or PIVA), is an artery running in the posterior interventricular sulcus to the apex of the heart where it meets with the left anterior descending artery also known as the anterior interventricular artery.
In approximately 33% of individuals, the left coronary artery gives rise to the posterior descending artery [4] which perfuses the posterior and inferior walls of the left ventricle. Sometimes a third branch is formed at the fork between left anterior descending and left circumflex arteries, known as a ramus or intermediate artery. [5]
The posterior descending artery, providing blood flow to the infero-posterior wall of the heart, originates from the RCA in 70-90% of individuals (“right coronary dominance”), whereas in 10-15% cases it originates from the LCx (“left coronary dominance”). [citation needed]
In approximately 80% of patients (right dominant), the RCA gives off the posterior descending artery (PDA). In the other 20%, of cases (left dominant or codominant), the PDA arises from the left circumflex artery or is supplied by both the right coronary artery and the left circumflex. [8]
The artery that supplies the posterior third of the interventricular septum – the posterior descending artery (PDA) [3] determines the coronary dominance. [4] If the posterior descending artery is supplied by the right coronary artery (RCA), then the coronary circulation can be classified as "right-dominant."
In the other 85% of all cases the posterior interventricular artery comes out of the right coronary artery. [3] When the left circumflex supplies the posterior descending artery in those 15% of cases, it is known as a left dominant circulation.
Arterial occlusion is a condition involving partial or complete blockage of blood flow through an artery. Arteries are blood vessels that carry oxygenated blood to body tissues. [ 1 ] [ 2 ] An occlusion of arteries disrupts oxygen and blood supply to tissues, leading to ischemia . [ 1 ]
The right marginal branch is the largest branch to split off from the right coronary artery. [1] [2] It often anastomoses with the nearby parallel posterior interventricular artery, which itself is usually a continuation of the right coronary artery. [3]
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