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Anterior interventricular branch of left coronary artery

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Artery: Anterior interventricular branch of left coronary artery
Sternocostal surface of heart. (Anterior descending branch labeled at upper right.)
The arch of the aorta, and its branches.
Latin ramus interventricularis anterior arteriae coronariae sinistrae
Gray's subject #142 547
Source left coronary artery
Dorlands/Elsevier r_02/12690388

The "LAD", or left anterior descending artery (or anterior interventricular branch of the left coronary artery, or anterior descending branch) passes at first behind the pulmonary artery and then comes forward between that vessel and the left auricula to reach the anterior interventricular sulcus, along which it descends to the incisura apicis cordis.

In 78% of cases, it reaches the apex of the heart.

It supplies the anterolateral myocardium, apex, and interventricular septum. The LAD typically supplies 45-55% of the left ventricle (LV).

The LAD gives off two types of branches: septals and diagonals.

  • Septals originate from the LAD at 90 degrees to the surface of the heart, perforating and supplying the intraventricular septum.
  • Diagonals run along the surface of the heart and supply the lateral wall of the LV and the anterolateral papillary muscle.

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This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.

Arteries of thorax, abdomen, and pelvis edit

pulmonary - aorta - ascending aorta
right coronary (sinuatrial nodal, atrioventricular nodal, atrial, right marginal, posterior interventricular)
left coronary (anterior interventricular, left circumflex, left marginal)
aortic arch - brachiocephalic - thyreoidea ima - common carotid | (Gray's s141-Gray's s143)

DESCENDING AORTA / THORACIC AORTA: bronchial - esophageal - posterior intercostal - subcostal | (Gray's s153)

ABDOMINAL AORTA: Anterior - celiac: left gastric

splenic: pancreatic branches (arteria pancreatica magna) - short gastric - left gastro-omental

common hepatic: proper hepatic (cystic), right gastric, gastroduodenal (right gastro-omental, superior pancreaticoduodenal)

superior mesenteric: inferior pancreaticoduodenal - intestinal - ileocolic (appendicular) - right colic - middle colic

inferior mesenteric: left colic - sigmoid - superior rectal

Posterior - Visceral: middle suprarenal - renal (inferior suprarenal) - testicular/ovarian - Parietal: inferior phrenic (superior suprarenal) - lumbar - median sacral

Terminal branches: common iliac - marginal - internal iliac | (Gray's s154)

INTERNAL ILIAC: Anterior: umbilical (superior vesical, to ductus deferens) - inferior vesical - middle rectal - uterine (azygos of the vagina) - vaginal - obturator
internal pudendal: (inferior rectal, perineal, artery of the urethral bulb, urethral, deep artery of the penis, dorsal artery of the penis)
inferior gluteal (accompanying of ischiadic nerve, crucial anastomosis)
Posterior: iliolumbar - lateral sacral - superior gluteal | (Gray's s155)

EXTERNAL ILIAC: inferior epigastric (cremasteric) - deep circumflex iliac | (Gray's s156)

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