Type of Article: Original Research
Year: 2016 | Volume 4 | Issue 1 | Page No. 2114-2118
Date of Publication: 31-03-2016
DOI: http://dx.doi.org/10.16965/ijar.2016.158
AN ANATOMICAL STUDY ON THE CORONARY ARTERIES AND THEIR VARIATIONS
Anbumani T L *1, Deepthi Christus 2, Thamarai Selvi A 2, Anthony Ammal S 2.
*1 Professor, Department of Anatomy, Karpaga vinayaga institute of medical sciences, Maduranthagam, Tamil Nadu, India.
2 Post Graduate, Department of Anatomy, Karpaga vinayaga institute of medical sciences, Maduranthagam, Tamil Nadu, India.
Address: Prof. Dr. Anbumani T L, Professor, Department of Anatomy, Karpaga vinayaga institute of medical sciences, Maduranthagam, Tamil Nadu, India.
E-Mail: anbumanitl@gmail.com
Abstract
Background and Aims: The term “Coronary” is derived from the Latin word “Corona”, which means crown. The rise in the coronary heart disease in India has led to a rapid transition in health status.The present study is conducted to observe the origin, branching pattern and termination of the coronary arteries in human cadaveric hearts. Preponderance of right coronary dominance or left coronary dominance is also looked for in this study.
Materials and Methods: 50 human hearts were collected from the embalmed cadavers of both the sexes, from the department of Anatomy of our institution. They were preserved in 10% formalin.
Observation: In the present study, right coronary dominance is observed in 84% and left coronary dominance is observed in 16% of specimens. In 2% of specimen, third coronary artery is observed. 4% of short trunk (< 5 mm) and 6% of long trunk (> 15 mm) of left main coronary artery is observed. The average length of left main coronary trunk is 9.34 mm. In 14% of specimens, myocardial bridges are observed.
Conclusion: Knowledge of normal anatomy of coronary arteries, its variations and anomalies related to coronary circulation is mandatory for good clinical outcome following therapeutic procedures, like angioplasty and coronary artery bypass grafting. Thus in the interest of this subject, this study is pursued.
Key words: Right Coronary Artery, Left Coronary Artery, Coronary Dominance, Circumflex Artery, Posterior Interventricular Artery.
References
- Datta A.K. In Essentials of Human Anatomy; 9thed; 81.
- Srinath Reddy K, Shah B, Varghese C, Ramadoss; Responding to the threat of chronic diseases in India; Lancet. 2005 Nov 12;366(9498):1744-9.
- Gupta R, Joshi P, Mohan V, Reddy KS, Yusuf S; Epidemiology and causation of coronary heart disease and stroke in India;Heart. 2008 Jan;94(1):16-26.
- Angelini P, Villason S, Chan AV and Diez JG. Normal and anomalous coronary arteries in humans. In: Angelini,P (ed). Coronary artery anomalies.A comprehensive approach. Philadelphia, Lippincot Williams & Wilkins, 1999;pp 27-79.
- Engel, H.J. and Torres, C. Major variations in anatomical origin of the coronary arteries-angiographic observations in 4,250 patients without associated congenital heart disease. Cathet.cardiovascular Diagnosis. 1975;116(5):157-169.
- Neufeld HN and Schneeweiss A. Coronary artery disease in infants and children. Lea &Febiger; Philadelphia 1983;pp 65-78.
- Vlodaver Z, Neufeld HN and Edwards JE. Coronary arterial variations in the normal heart and in congenital heart disease. Academic Press, New York, 1975;pp 19-22.
- Schlesinger MJ. Relation of anatomic pattern to pathologic conditions of the coronary arteries.ArchPath. 1940;30:403-415.
- Banchi A. Morfologiadelle arteriae coronariaecordis.Arch Ital AnatEmbriol, 1904;3:87-164.
- Crainicianu AL. Anatomische studienber die coronararaterien und experimentelle untersuchungenüberihre Durchgngigkeit. Virchow’s Arch Path Anat, 1922;238:1-75.
- Vlodaver Z, Amplatz K, Burchell HB and Edwards JE. Coronary heart disease. Clinical, angiographic & pathologic profiles. Springer Verlag, New York, 1976;pp 123-158.
- Mcalpine, WA. Heart and coronary arteries. Springer-Verlag, Berlin. 1975;pp 133-209.
- Petit M and Reig J. ArteriasCoronarias: AspectosAnatomo-Clínicos. Masson-Salvat, Barcelona. 1993.
- Reig J, Petit M. Main trunk of the left coronary artery: anatomic study of the parameters of clinical interest. ClinAnat 2004;17:6-13.
- Kalpana. R.A Study On Principal Branches of Coronary Arteries In Humans;J Anat. Soc. India 2003;52(2):137-140.
- James TN. Anatomy of the coronary arteries. Paul B.Hoeber, New York, 1961;pp 12-150.
- Reyman HC. Disertatis de vasiscordispropiis. Bibl Anat. 1737;2:366.
Anbumani T L, Deepthi Christus, Thamarai Selvi A, Anthony Ammal S. AN ANATOMICAL STUDY ON THE CORONARY ARTERIES AND THEIR VARIATIONS. Int J Anat Res 2016;4(1):2114-2118. DOI: 10.16965/ijar.2016.158