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The left marginal artery (or obtuse marginal artery) is a branch of the circumflex artery, originating at the left atrioventricular sulcus, traveling along the left margin of heart towards the apex of the heart.
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 .
The circumflex artery curves to the left around the heart within the coronary sulcus, giving rise to one or more left marginal arteries (also called obtuse marginal branches) as it curves toward the posterior surface of the heart. It helps form the posterior left ventricular branch or posterolateral artery.
Within this margin can be found the obtuse marginal artery, which is the a branch of the left circumflex artery. It extends from a point in the second left intercostal space , about 2.5 mm. from the sternal margin , obliquely downward, with a convexity to the left, to the apex of the heart .
The atrial branches of right coronary artery derive from the right coronary artery and provide part of the blood supply to the right atrium and left atrium. Although named for the right coronary artery in Terminologia anatomica, a portion of the blood supply to the atria derives from the Circumflex branch of left coronary artery.
Its position is marked by the location of the right coronary artery, and small cardiac vein. The right coronary sulcus separates the right atrium and its atrial appendage from the right ventricle inferiorly. The right coronary sulcus then passes inferiorly onto the diaphragmatic surface of the heart and traverses to the left.
Posterior vein of left ventricle (accompanies the left marginal artery, ascends the posterior wall of left ventricle to drain into the coronary sinus); [6] Oblique vein of left atrium. [1] All veins that empty into the coronary sinus except for the oblique vein of the left atrium have valves at their junction with the coronary sinus. [1]
The left marginal vein is a vein of the heart which courses near or over the left margin of the heart. It drains venous blood from much of the myocardium of the left ventricle . It usually empties into the great cardiac vein (but may sometimes instead drain into the coronary sinus directly).
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