Posterior Interventricular Groove Research Articles

Optimizing the Sewing Position of Flexible Piezoelectric Energy Harvesters on a Three-Dimensional Deforming Heart: An Integrated Approach Using Finite Element Analysis, Deep Learning, and Theoretical Modeling

Abstract Flexible piezoelectric energy harvesters (FPEHs) have attracted tremendous attention due to their potential applications in the field of biomedicine, such as powering implantable devices. Despite observations in numerous in vivo experiments that the electrical output of FPEHs varies considerably with sewing positions during energy harvesting from heartbeats, optimal sewing positions have not been thoroughly investigated. In this article, an approach that integrates finite element analysis (FEA), long short-term memory (LSTM) deep learning method, and theoretical modeling was proposed to investigate the impact of the sewing position on the harvest performance of the FPEH, utilizing real three-dimensional heart deformation data as the end-to-end displacement load for the FPEH. The results reveal that the sewing positions have a significant influence on the electric output performance of the FPEH. The optimal sewing position was identified near the posterior interventricular groove on the upper part of the left ventricle, with a corresponding optimal resistance value of 8 MΩ and an output power of 122.9 nW. Additionally, five suggested sewing positions across different regions of the heart's surface were provided for clinical application. The methodology that integrates FEA, deep learning approach, and theoretical modeling in this article can be extended to determine the optimal position for the flexible devices patching on other irregular and deforming surfaces.

Study of Left Coronary Artery and Its Variations: A Cadaveric Study from Gujarat Region

Background: A lot of variations have been analyzed in the case of the left coronary artery (LCA) which makes it a leading cause of death globally. Therefore, awareness of normal and variant anatomy of this artery in relation to its main trunk and branches is the key to physicians, cardiologists, and radiologists in the management of various cardiac pathologies. Materials and Methods: Eighty embalmed and formalin-fixed adult human cadaveric hearts of both genders with no history or signs of pathology were dissected meticulously during educational hours. Results and Conclusion: Among 80 hearts studied, 71 hearts left coronary ostia were located below the sinotubular junction. The mean distance of left coronary ostia from the supravalvular ridge lying above and below was 2.93 ± 0.39 mm and 2.72 ± 0.92 mm, respectively. The mean diameter of the left coronary ostium was 3.67 ± 0.94 mm. The mean length and diameter of the LCA main trunk (LCAMT) were 13.06 ± 2.42 mm and 4.93 ± 0.60 mm, respectively. The most common branching pattern of LCAMT was bifurcation. The most frequent range of length of left anterior descending (LAD) and circumflex (Cx) artery was 10–12 cm and 6.5–8 cm, respectively. The most common termination point of LAD was at the anterior one-third part of posterior interventricular sulcus and for Cx artery was between the crux and obtuse border of the heart. Right coronary dominance was the most common.

Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery Diagnosed in Adulthood

Introduction: An anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare heart malformation, with 90% of patients dying during the first year of life. If the right coronary artery compensation and multiple collateral circulation are sufficiently established, the patient's myocardial ischemia symptoms are mild and appear later, which is called the adult type ALCAPA. Case Description: A 42-year-old woman presented to our hospital with one-month history of the aggravation of active shortness of breath which gradually progressed to nocturnal paroxysmal shortness of breath and cough. Admission physical examination suggested mild edema of both lower limbs. Transthoracic echocardiography (TTE) showed that a small vessel shadow was abnormally connected to the pulmonary artery (PA), and moderate pulmonary artery hypertension. Coronary computed tomography angiography (CTA) showed an anomalous origin of the left main coronary artery (LMCA) dividing into the left anterior descending (LAD) and left circumflex (LCX) artery from the PA, with no clear connection to the left coronary sinus. The right coronary artery (RCA) was significantly dilated and originated from the normal Valsalva sinus. It was accompanied by multiple collateral circulations, most of which traveled anterior to the right ventricular free wall and anterior interventricular sulcus, and some emanated from the posterior descending branch of the posterior interventricular sulcus and walked toward the posterolateral wall of the left ventricle. Conclusion: Coronary computed tomography angiography (CTA) can be used to visualize the abnormal origin and distribution of the coronary artery's course and may be the first choice in the diagnosis of ALCAPA.

CT Images in Follicular Lymphoma: Changes after Treatment Are Predictive of Cardiac Toxicity in Patients Treated with Anthracycline-Based or R-B Regimens

The aim of this study is to evaluate changes in epicardial adipose tissue (EAT) and cardiac extracellular volume (ECV) in patients with follicular lymphoma (FL) treated with R-CHOP-like regimens or R-bendamustine. We included 80 patients with FL between the ages of 60 and 80 and, using computed tomography (CT) performed at onset and at the end of treatment, we assessed changes in EAT by measuring tissue density at the level of the cardiac apex, anterior interventricular sulcus and posterior interventricular sulcus of the heart. EAT is known to be associated with metabolic syndrome, increased calcium in the coronary arteries and therefore increased risk of coronary artery disease. We also evaluated changes in ECV, which can be used as an early imaging marker of cardiac fibrosis and thus myocardial damage. The R-CHOP-like regimen was associated with lower EAT values (p < 0.001), indicative of a less active metabolism and more adipose tissue, and an increase in ECV (p < 0.001). Furthermore, in patients treated with anthracyclines and steroids (R-CHOP-like) there is a greater decrease in ejection fraction (EF p < 0.001) than in the R-B group. EAT and ECV may represent early biomarkers of cardiological damage, and this may be considered, to our knowledge, the first study investigating radiological and cardiological parameters in patients with FL.

Hyper-dominant Left Anterior Descending Artery in the coronary circulation as a rare coronary anomaly

Hyper-dominant left anterior descending artery is rarely seen in the coronary distribution. Its involvement in ACS can often be detrimental as it supplies most of the anterior and inferior part of the right and left ventricles in compared to other variants of LAD artery. It is required to be recognized earlier and management strategies should be ascertained. Our report here describes such a case of anomalous coronary artery which is less commonly encountered during Coronary Angiography. This was case of a 60 year old hypertensive male who presented with atypical chest pain had normal ECG, echocardiography and cardiac biomarkers but TMT was positive, subsequent Coronary angiographic evaluation came up with LAD artery which was going beyond apex in the posterior interventricular groove up to crux forming PDA with 20 to 30% stenosis in proximal to distal part. Such a large LAD running into the interventricular groove forming PDA is known as “Hyper-dominant” LAD artery. The Right Coronary artery was non-dominant. Fortunately, there was no signifcant coronary artery disease to explain the cause of his chest pain, but the artery had unusual distribution provided that it has sole territorial supply to larger part of the myocardium which can worsen the clinical status if coronary artery disease progresses. He was kept under medical management and was doing good. The “Take away” lesson is that there are very few subjects with Hyper-dominant LAD artery till date and most other cases with this anatomy had presented with myocardial infarction and thus such anatomical variant of LAD artery ought to be matter of concern and further research in the feld of cardiology.

Hyperdominant Right Coronary Artery Occlusion Presenting with Acute Anterior Wall Myocardial Infarction

This case report describes a 69-year-old male who presented with acute anterior myocardial infarction and was detected to have a hyperdominant right coronary artery (RCA) with a large posterior descending branch coursing from the posterior interventricular groove into the apical part of the anterior interventricular space and posterior left ventricular branch coursing in the left atrioventricular groove and supplying the entire free wall. Primary percutaneous intervention of the proximally occluded posterior descending artery resulted in resolution of ST-segment elevation in anterior and inferior leads and also revealed the large vascular territory of the RCA. The occurrence of superdominant RCA and intact left circumflex artery presenting with acute anterior wall myocardial infarction has not been described earlier. Precise morphological and physiological knowledge and evaluation of such a variation assists in opting for the best available therapeutic modality and prognosis.

Analysis of Posterior Interventricular Artery in Post Mortem Hearts-A Hospital Based Study

Introduction: Coronary artery recurrently develops over periods. Symptoms may go hidden until a substantial blockage causes complications or a heart attack takes place. The particular anatomy of the myocardial blood supply varies significantly from person to person and generally, there are two prime coronary arteries, the left and the right. The coronary arteries mainly rise from the upper section of the sinus where the wall is fibroelastic and expands up to 16% in systole According to the origin of the posterior interventricular artery (PIVA) if it arises from RCA, then it is right dominance and if PIVA arises from LCA, it is left dominance. Methods: A cross-sectional study was carried out in the Department of Forensic Medicine of Dhaka Medical College and Hospital from September 2017 to January 2019. A total of 120 dead patients' hearts (N=120) were used in this study. All observations were noted in the clinical data sheet. Completed data forms were reviewed, edited, and processed for computer data entry. The data analysis was performed using Statistical Package for the Social Sciences (SPSS) Version 25.0. Result: Among the study population (N=120), one hundred hearts were male & of them, seventy males belonged to Group A (20 to 40 years), sixteen belonged to Group B (41 to 60 years), fourteen belonged to Group C (61 to 75 years) and twenty hearts were of female & of them fourteen belonged to Group A, six belonged to Group B, but no one belonged Group C. In Group A, the posterior interventricular artery arose from the right coronary artery in sixty-four males (64,91.4%), & the left coronary artery in six males (6,8.6%) and, the posterior interventricular artery arose from the right coronary artery in twelve females (12,85.7%). In Group A, the posterior interventricular artery terminated in the distal half of the posterior interventricular groove in fifty- six males (56,80.0%), in the proximal half of the posterior interventricular groove in twelve males ..........

Case Analysis of a Unique RIII‐C Single Coronary Artery with Type IV Dual LAD and Right‐Dominant Triple PDA

INTRODUCTIONCoronary artery anomalies (CAAs) are rare congenital variations of normal coronary artery anatomy. Examples of CAAs include a single coronary artery (SCA) (instead of separate, left and right vessels) arising from the aortic trunk to supply the entire myocardium (prevalence = 0.024% to 0.066%), two left anterior descending arteries (LAD) (instead of one) occupying the anterior interventricular sulcus (prevalence = 0.02% to 1%), and three posterior descending arteries (PDA) (instead of one) occupying the posterior interventricular sulcus (prevalence uncertain). Reports of rare CAAs, especially those previously undocumented to occur simultaneously, serve as valuable references for medical education and clinical practice. The present study describes an especially unique CAA discovered in a human cadaveric heart where a SCA gives rise to distinct dual LAD and triple PDA. The study aims to characterize the involved CAAs and investigate the anatomy, histology, and clinical considerations of this unique coronary anatomy.METHODSThe SCA, dual LAD, and triple PDA CAAs were discovered during routine cadaveric dissection in a medical education curriculum. The heart was eviscerated, and the CAAs were carefully cleaned of extraneous tissue, photographed, and measured. The SCA was characterized using Lipton’s classifications, and the dual LAD was classified according to the thirteen variations (“Types”) of dual LAD described in the literature. Masson’s Trichrome histological staining was performed to examine CAA tissue integrity via light microscopy. Courses of the CAAs were superimposed on volume rendered computerized tomographic angiography (CTA) images depicting normal coronary anatomy for comparison.RESULTSThe SCA arose from a solitary coronary ostium in the right coronary sinus and traveled 0.57 cm from the aortic trunk before quadfurcating into the right coronary artery (RCA), long LAD, left main coronary artery (LMCA), and descending septal artery (DSA). The RCA maintained normal anatomic course before terminating in a right‐dominant triple PDA. The long LAD coursed pre‐pulmonic along the anterior interventricular sulcus for 13.89 cm before terminating near the apex of the heart. The LMCA tracked retro‐aortic, between the aorta and the atrial wall, for 5.67 cm before bifurcating into the left circumflex artery (LCX) and short LAD. The short LAD paralleled long LAD within the anterior interventricular sulcus for 10.8 cm before anastomosing with the second PDA near the apex. Additional anastomoses were noted near the apex of the heart between the long LAD, short LAD, second PDA, third PDA, diagonal branches of the short LAD, and left marginal artery. The DSA coursed between the aorta and pulmonary trunk before entering the interventricular septum.CONCLUSIONSThe heart presented in this study was supplied by a unique (Lipton’s) RIII‐C SCA with Type IV dual LAD and right‐dominant triple PDA. Unexpected complications can arise from cardiac procedures involving patients with unknown CAAs such as these. This report may serve as a key reference for cardiothoracic surgeons, interventional cardiologists, coronary angiographers, and medical educators when considering simultaneous occurrence of these rare CAAs.

Thickness of epicardial and pericoronary adipose tissue measured using 128-slice MSCT as predictors for risk of significant coronary artery diseases

AimDetermination the relationship between the epicardial adipose tissue thickness (EATT) and pericoronary adipose tissue thickness (PATT) and the risk of significant coronary artery diseases (CAD) using the coronary artery calcium score (CACS).Materials and methodsThe study group consisted of 80 patients. The risk of significant CAD was estimated based on CACS. Adipose tissue thickness was measured based on multiplanar reformation (MPR), left ventricle short axis and mid-chamber level. EATT in the middle of the length of the right ventricular free wall, PATT around the left anterior descending (LAD), around the left circumflex (LCX) and around the right coronary artery in the posterior interventricular sulcus (RCA).ResultsThe median (IQR) values of CACS and EATT were 12.00 (97.90) and 8.65 (3.90) mm. It was found that in the subgroup CACS = 0 statistically significantly lower than in the subgroup CACS > 0 were mean values EATT and PATT RCA. Based on the regression analysis, it was demonstrated that higher CACS is associated with higher EATT, independent of older age and higher BMI. On the basis the ROC curve analysis, the highest prediction sensitivity of 98.4% was demonstrated for EATT ≥ 16.7 mm as a predictor of high risk of significant CAD and the highest specificity of 61.5% for the criterion EATT ≤ 8.7 mm as a predictor of practically no risk of significant CAD.ConclusionThere is a positive relationship between the risk of a significant CAD estimated based on the coronary artery calcium score and the epicardial adipose tissue thickness.

Coronary dominance pattern in Myocardial bridged hearts

Posterior interventricular artery (PIA) present in the posterior interventricular groove over the inferior surface of the heart. Human hearts consist of either Right coronary predominance or Left coronary predominance. Left coronary predominant people are more prone to get ischemic heart diseases. In left coronary predominance entire left ventricle except a part of the right ventricle adjoining anterior interventricular groove supplied by the left main coronary artery. Left coronary dominance has a poor prognosis in acute coronary syndrome when compared with the right coronary predominance. Myocardial bridging may be benign or malignant. So myocardial bridging with left coronary dominance may be a risk factor to the ischemic heart disease. The aim of the present study is to find out the coronary dominance pattern in myocardial bridged hearts in cadavers. Ninety cadaveric hearts were procured from the Department of Anatomy, IMS & SUM Hospital Bhubaneswar. After a simple dissecting procedure, myocardial bridges and coronary dominance patterns were observed. Myocardial bridging was present over the left anterior interventricular artery in 51(56.7%) hearts. Out of 51 myocardial bridged hearts, right coronary predominance is present in 45 (88.24%) hearts and left coronary predominance present in 6(11.76%) hearts. Along with the left dominance, if myocardial bridge present over the left epicardial coronary artery, there may be an increased frequency of myocardial ischemia.

The evaluation of epicardial adipose tissue radiodensity according to age

Aim: The grading of fatty degeneration by cardiac computerized tomography (CCT) is an important bioradiological marker to discriminate biological characteristics. Epicardial adipose tissue (EAT) degeneration has been accused of causing heart disease. However, the relationship between age and EAT radiodensity is not well known. In this study we examined epicardial adipose tissue radiodensity with CCT. Methods: A total of 147 subjects who underwent contrast-enhanced evaluation of coronary arteries with CCT between Jun 2018-July 2019 due to intermediate probability of coronary artery disease (CAD) were included in this retrospective cohort study. The radiodensities of three epicardial regions (right atrioventricular groove, posterior interventricular groove, and anterior epicardial area) and individual subxiphoid fat radiodensity ratios were obtained. Group comparisons were made according to 10-year-periods (between 10- 80 years of age). Results: We found that epicardial adipose tissue/ subxiphoid fat radiodensity ratio decreased with increasing age. After the 3rd decade, we detected a negative correlation between EAT/subxiphoid fat radiodensity ratio (r=-0.11). The radiodensity ratios of patients between 20-30 and 30-40 years of age in the LCX, RCA and anterior epicardial regions were 1.71 (0.14) and 1.06 (0.40) (P

Supernumerary coronary artery. Case report

During the routine dissection of a 60‐year‐old male within our university's Department of Anatomy, we identified a peculiar aspect of the coronary blood supply.The heart is normally supplied by two coronary arteries, however in our case, we identified a supernumerary coronary artery. It arose from the aorta, through a separate ostium, anterior of the right coronary artery's point of origin. This third artery descended diagonally along the anterior surface of the right ventricle. At the heart's apex, it then continued for approximately 2cm along the posterior interventricular sulcus.The right marginal branch took a diagonal descending path to the middle of the posterior interventricular sulcus, close to the terminal point of the third artery. At the same time, the right coronary artery was shortened, and only descended to the first third of the posterior interventricular sulcus.The left coronary artery presented with two branches: the circumflex branch, and a common trunk for the anterior interventricular branch and the left marginal branch. The anterior interventricular branch was shortened, only descending two thirds of the way along the anterior interventricular sulcus. Both it and the left marginal branch were partially covered by myocardial bridges. The circumflex branch terminated near the posterior interventricular sulcus through two ventricular branches.The study and knowledge of coronary variants is critical in identifying potential collateral paths, of which a supernumerary coronary artery is a good example.This abstract is from the Experimental Biology 2019 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.

Coronary artery anatomy in peri-crux cordis area on computed coronary tomography angiography.

The peri-crux area is an anatomical structure of the heart. Unfortunately, important information on this area mainly derives from autopsy heart with a small, under-representative sample size, resulting in limited clinical applications. Furthermore, little has been done to standardize the definition of the peri-crux area on coronary computed tomography angiography (CCTA) images or to investigate coronary artery anatomy wherein potential values are attracting experienced inventional cardiologists in terms of the revascularization strategies. The current study aimed to identify the peri-crux cordis area and to observe coronary artery anatomical distributions in this area on CCTA. A total of 1,006 consecutive patients undergoing CCTA exams were enrolled. We delineated the peri-crux cordis area based on the posterior interatrial sulcus, posterior interventricular sulcus (PIS), left and right posterior atrioventricular groove on the diaphragmatic surface of the heart. Then we observed the coronary artery distributions in the peri-crux cordis area in different sexes. We have defined the peri-crux cordis area according to the anatomical landmarks on the diaphragmatic surface of the heart on CCTA images. We have observed 8 coronary artery distributions in the peri-crux cordis area. Right dominance has 4 types (types 1-4); left, 1 type (type 0) and balanced, 3 types (types 5-7). Out of the 1,006 cases, the type 1 is commonest with 834 cases (82.9%). There are no statistically significant differences in terms of coronary dominances and coronary artery distributions in the peri-crux cordis area between sexes (P>0.05). We have defined the peri-crux cordis area utilizing the anatomical landmarks of the heart on CCTA images, where 8 types of coronary artery distributions have been identified. The current study may provide interventional cardiologists with useful information on recognition of coronary artery dominance, use of collateral channels for revascularization of chronic total occluded lesions, and evaluation of prognosis in patients with coronary artery disease (CAD).

PDA (Posterior Descending Artery) & Coronary Dominance-A MDCT Coronary Angiographic Analysis of Anatomic Variations and Clinical Importance

Introduction: There is considerable variation in the arterial supply of diaphragmatic surface of the heart. Diaphragmatic myocardial infarction is one of the more common consequences of coronary artery disease. The aim of this study was to assess the incidence of anatomic variants of origin and termination of Posterior Descending Artery (PDA) and to determine the type of coronary dominance in North Indian population. Subjects and Methods: This prospective study was carried out on 50 routine subjects of different age groups who came to the Department of Radiodiagnosis, King George’s Medical University UP, Lucknow in the year 2010- 2011 with known or suspected coronary artery disease. All the cases were investigated on a 64 slice Multidetector Computed Tomographic (MDCT) scanner, using retrospective Electrocardiographic gating. Endeavour was made to determine the incidence of sites of origin and termination of PDA as well as to determine the type of coronary dominance. Results: PDA arose from Right Coronary Artery (RCA) in 39 (78%) cases and from Left Circumflex (LCx) artery in 11(22%) cases. The PDA was found to terminate in the upper 1/4 of Posterior Inter-Ventricular Groove (PIVG) in 18 (36%) cases, in upper 1/2 of PIVG in 19 (38%) cases, in upper 3/4 of PIVG in 10 (20%) cases and at the apex of the heart in 1 (2%) case. None of the female had termination of PDA at the apex. Termination of PDA could not be determined in 2 (4%) cases. Right dominance was seen in 36 (72%) cases, Left dominance in 11 (22%) cases. and Co-dominance in 3 (6%) cases. Conclusion: Posterior descending artery most commonly terminated after traversing the upper half of posterior inter-ventricular groove. The incidence of left coronary dominance was more in females, it was approximately twice the incidence found in males. Co-dominance was observed only in male subjects.

Anatomy of the coronary artery and cardiac vein in the quail ventricle: patterns are distinct from those in mouse and human hearts.

Coronary vessel development has been investigated in avian and mouse embryonic hearts. Quail embryos are a useful tool to examine vascular development, particularly because the QH1 antibody and transgenic quail line, Tg (tie1:H2B-eYFP), are useful to trace endothelial cells. However, there are only a few descriptions of the quail coronary vessels. Using ink injection coronary angiography, we examined the course of coronary vessels in the fetal quail heart. The major coronary arteries were the right and left septal arteries, which, respectively, branched off from the right and left coronary stems. The right septal artery ran posteriorly (dorsally) and penetrated the ventricular free wall to distribute to the posterior surface of the ventricles. The left septal artery ran anteriorly (ventrally) and penetrated the ventricular free wall to distribute to the anterior surface of the ventricles. The right and left circumflex arteries were directed posteriorly along the atrioventricular sulci. The cardiac veins consisted of three major tributaries: the middle, great, and anterior cardiac veins. The middle cardiac vein ascended along the posterior interventricular sulcus and emptied into the right atrium. The great cardiac vein ran along the anterior interventricular sulcus, entered the space between the left atrium and conus arteriosus and emptied into the right atrium behind the aortic bulb. The anterior cardiac vein drained the anterior surface of the right ventricle and connected to the anterior base of the right atrium. The course of coronary vessels in the quail heart was basically the same as that observed in chick but was different from those of mouse and human.

Variations in the Left Coronary Artery

Background : There is a large spectrum of variations in the disposition of coronary arteries. Many of these variations are 'normal' and not considered as 'anomalous'1. These variations mainly occur in the Left Coronary Artery (LCA)2. While some of these are benign and have no clinical consequences, other variants can cause important clinical manifestations including sudden death of the individual3. Lack of knowledge of such variations can pose difficulties in percuteneous coronary arteriography, coronary artery bypass surgery or prosthetic valve replacement. A cadaveric study in unsuspected population can help to understand the variations that will be useful to determine the prevalence of certain variations. Thus the objective of this study was to analyze the characteristics of LCA that may be used in the diagnosis and treatment of its pathologies.Methods: The study was carried out in the Department of Anatomy, Chittagong Medical College (CMC) Chittagong over a period between Jan 2012 to Dec 2013 with ethical clearance. A detailed dissection of LCA and its branches in 50 cadaveric human hearts, fixed in 10% formalin was carried out to study normal and variant anatomy of LCA. The length of the main stem of LCA was measured by slide calipers.Results: The LCA was found to arise from the Left Posterior Aortic Sinus (LPAS) of the ascending aorta in 100% cases. The level of the ostia (Opening of coronary artery) was above the free margin of the aortic cusps in 98% cases. In all samples ostia were present below sinutubular ridge (A slight circumferential thickening separating bulbar aortic sinus and proximal ascending aorta). The length of the main stem of LCA (From origin to the point of termination into main branches) was found to range from 0.5-2 cm. The LCA showed bifurcation in 74%, trifurcation in 26% of cases. Left Anterior Descending artery (LAD) was found to terminate at the apex of the heart in 68% and at the posterior interventricular groove in 32% cases. The Left Circumflex artery (LCx) was terminated at the crux of the heart in 52%, near the crux in 44% and by crossing the crux in 4% cases. The Left Marginal Artery (LMA) which was present only in 34% cases, found to terminate nearer to the apex of the heart. 0% Left dominance of heart was observed.Conclusion: Simple attention to potential variations in the origin, number, level of ostia, length of the main stem, branching pattern, termination and distribution of LCA can greatly enhance clinical outcomes.Chatt Maa Shi Hosp Med Coll J; Vol.16 (1); Jan 2017; Page 42-47

Right Coronary Artery - Looped, Astray and Muzzled: A case report

The right coronary artery (RCA) arises from the right aortic sinus. In its course in relation to the atrioventricular groove (AVG), it is submerged in the adipose tissue of the epicardium. It continues towards the posterior interventricular groove often crossing the crux of the heart.

Morphological and morphometric analysis from the heart of Caracara plancus (Carcará)

Abstract Introduction: Caracara plancus, popularly known as Carcará, is a bird with broad geographic distribution, occurring from the southern United States to Argentina. Owing to importance of the heart during the flight and the lack of studies of this body in caracaras, this research aimed to conduct the description of the morphology and internal and external morphology heart Caracara plancus. Materials and Methods: Using a magnifying glass (TECNIVAL, SQF-F), precision scale and steel caliper, the heart three caracaras were described morphologically, weighed and measured. Results: The weight of hearts averaged 7,246g ± 0,518g. The mean side-to-side axis was 2,196cm ± 0,085cm and 3,366cm ± 0,036cm the longitudinal axis. In the side wall of the right ventricle was obtained the value of 0,185cm ± 0,035cm in the lateral wall of the left ventricle 0,59cm ± 0,014cm and interventricular septum 0,014cm ± 0.52cm. The heart of Carcará has no anterior interventricular groove; however there is the presence of the posterior interventricular sulcus. Internally, the left ventricle was observed, the presence of atrioventricular valves formed by connective tissue 18 tendinous cords, papillary muscles and a bridge crests. In the right ventricle, the atrioventricular valve was formed by muscle tissue and did not submit chordae, papillary muscles, crests or bridge. Conclusion: The heart of Carcará features in its morphology similar to the hearts of other birds and can be checked one right atrioventricular valve constituted by muscle tissue.

A study on coronary predominance in cadaveric human hearts

<b>Background:</b> Coronary heart disease (CHD) is one of the major causes of mortality and morbidity in developed countries as well as developing countries. If the coronary arteries are narrowed, the blood supply to the cardiac muscle is reduced. Coronary angiography is a radiological procedure to visualize the coronary arteries. The coronary bypass surgery has become common for the treatment of patients with unstable angina and myocardial infarction. That's why the knowledge of the coronary artery and their predominant pattern is necessary for the management of CHD. <b>Materials and Methods:</b> In the present study, 75 adult human hearts were collected and preserved in 10% formalin. The hearts were dissected carefully to observe the posterior inter-ventricular artery in the posterior inter-ventricular sulcus of each hearts. <b>Results:</b> Among 75 heart specimens, 46 showed right predominance, 18 showed left predominance and 11 showed balanced type of heart. <b>Conclusion:</b> According to this study, the right coronary artery is the predominant artery in majority of the cases in the cadaver of North Karnataka origin. So these people are less likely to be affected by the cardiac problems. This study might help cardiologists and radiologists for the better understanding and management of cardiac diseases.

Morphologic expression of the left coronary artery in pigs. An approach in relation to human heart.

Introduction In spite of its importance as an experimental model, the information on the left coronary artery in pigs is sparse. Objective To determine the morphologic features of the left coronary artery in pigs. Methods We evaluated 158 pig hearts. The left coronary artery was perfused with synthetic resin after their ostia had been catheterized. Diameters and courses of the vascular beds were measured with an electronic caliper (Mitutoyo®). Results The diameter of left coronary artery was 6.98 ± 1.56 mm and its length was 3.51±0.99 mm. It was found to end up by bifurcating itself into the anterior interventricular artery and the circumflex artery in 79% of the cases, and by trifurcating in 21% of the cases, with the presence of the diagonal artery. The anterior interventricular artery ended up at the apex in 79.7% of the cases, and the circumflex artery at the posterior aspect of the left ventricle in 64% of the case, this artery never reached the posterior interventricular sulcus. An anastomosis between the terminal branches of the anterior interventricular artery and the posterior interventricular artery was found in 7.6% of the specimens. The antero-superior branch of the anterior interventricular artery occurred in 89.9% of the hearts. A left marginal branch was observed in 87.9% of the cases with a diameter of 2.25±0.55 mm. Conclusion Compared with humans, pigs have shorter left coronary artery trunks and branches; even the circumflex artery never reaches the posterior interventricular sulcus. Our findings are useful for the design of experimental hemodynamic and procedural models.