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The crux cordis or crux of the heart (from Latin "crux" meaning "cross") is the area on the lower back side of the heart where the coronary sulcus (the groove separating the atria from the ventricles) and the posterior interventricular sulcus (the groove separating the left from the right ventricle) meet. [1]
It winds around the left side of the heart along the atrioventricular groove (coronary sulcus). It supplies the posterolateral portion of the left ventricle. [1] In a minority of individuals, the left circumflex artery gives rise to the posterior interventricular artery, in which cases such a heart is deemed left dominant. [1]
The circumflex (ˆ) is mostly used to mark long vowels, so â, ê, î, ô, û, ŵ, ŷ are always long. However, not all long vowels are marked with a circumflex, so the letters a, e, i, o, u, w, y with no circumflex do not necessarily represent short vowels; see § Predicting vowel length from orthography.
[citation needed] The left coronary artery typically runs for 10–25 mm, then bifurcates into the left anterior descending artery, and the left circumflex artery. [ 1 ] The part that is between the aorta and the bifurcation only is known as the left main artery (LM), while the term "LCA" might refer to just the left main, or to the left main ...
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 relation to the rib cage, the coronary sulcus spans from the medial side of the 3rd left costal cartilage, to the middle of the right 6th costal cartilage. [1] Epicardial fat tends to be concentrated along the coronary sulcus. [4] [5] There are two coronary sulci in the heart, including left and right coronary sulci.
With the heart still, the tip of the heart is taken out of pericardium so that native arteries lying on the posterior side of the heart are accessible. Usually, distal anastomoses are constructed first (first to the right coronary system, then to the circumflex) and then the sequential anastomosis if necessary.
The origin of the sinoatrial node artery is not related to coronary artery dominance, which means the side (right or left) that provides the circulation to the back of the heart. In contrast, the atrioventricular nodal branch, that is the artery that brings blood to the atrioventricular node, depends on coronary artery dominance. [citation needed]