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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 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 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]
Anatomy figure: 20:04-01 at Human Anatomy Online, SUNY Downstate Medical Center – "Posterior view of the heart." [dead link ] Anatomy photo:20:09-0104 at the SUNY Downstate Medical Center [dead link ] – "Heart: The Left Coronary Artery and its Branches" Image at merck.com Archived 14 April 2006 at the Wayback Machine
The left main coronary artery begins at the posterior sinus of the aortic root. It is the largest coronary artery, as the myocardium supplied by this artery is larger than the coronary artery, although it becomes short as soon as it separates in the anterior interventricular (also known as left anterior descending or LAD) and circumflex artery ...
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The axillary artery; The brachial artery; The radial artery; The ulnar artery; The arteries of the trunk The descending aorta. The thoracic aorta; The abdominal aorta; The common iliac arteries The hypogastric artery; The external iliac artery; The arteries of the lower extremity The femoral artery; The popliteal artery; The anterior tibial artery
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