Congenital coronary artery anomalies. Experience at Stanford University Hospital (1963-1971)

Koops, Beverly L.; Kerber, Richard E.; Wexler, Lewis; Greene, Richard A.

doi:10.1001/jama.226.12.1425

Cited by 10 publications

(1 citation statement)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These variations are well described in the anatomical and cardiological literature (Hackensellner, 1954;Bader, 1963;Baroldi and Scomazzoni, 1965;von Luedinghausen, 1975;Allwork, 1979;Anderson, 1982;Williams et al, 1989). The five arteries that may arise from this location are a conal artery, a right sinuatrial node artery, an adventitial artery (vas vasorum) of the aortic root, a preventricular artery, and a right superior septal artery (RSSA) (Crainicianu, 1922;Schlesinger et al, 1949;Frick, 1956;Smith, 1962;Paulin, 1964;Bertho and Gagnon, 1964;Ogden, 1970;Koops et al, 1973;McAlpine, 1975;Levin et al, 1978;von Lü dinghausen, 1997) (Fig. 6).…”

Section: Proximal Branches Of the Right Coronary Arterymentioning

confidence: 99%

Right superior septal artery with “normal” right coronary and ectopic “early” aortic origin: A contribution to the vascular supply of the interventricular septum of the human heart

Lüdinghausen¹,

Ohmachi²

2001

Clinical Anatomy

View full text Add to dashboard Cite

In the human heart, anterior and posterior septal branches are mainly responsible for the arterial supply of the interventricular septum. These arteries are the basis of efficient intercoronary collateralization. The right and left superior septal arteries also contribute to the nourishment of the septum and to any eventual collateralization. Because the right superior septal artery (RSSA) is small in diameter, short, and has a variable origin either at the proximal stem or in the ostial area of the right coronary artery, it is difficult or almost impossible to visualize it angiographically. During investigation of the arterial supply of the interventricular septum in 84 human heart specimens and 16 corrosion casts, we found a few peculiarities in the origin and pattern of the RSSA in four specimens. The RSSA was found in 27 cases (27%); in most it was a single vessel and arose from three different locations: (a) the proximal part of the right coronary artery (21 cases); (b) the right coronary ostial area (four cases); and (c) from the floor of the right (anterior) aortic sinus (two cases). Macroscopically, in 16 cases the RSSA had a length of less than 10 mm; in nine cases the arteries were between 11 and 17 mm long. In two cases the RSSA was of more substantial appearance and up to 36 mm in length; it nourished almost the entire upper third of the septal myocardium. In these two cases, two courses could be differentiated: an extramural course with the RSSA descending to the subvalvular fibrous tissue, and an intramural course with ramification in the myocardium of the crista supraventricularis and the superior parts of the interventricular septum. One cadaveric heart specimen and one corrosion cast showed RSSAs that originated "early" (ectopically) on the floor of the right (anterior) aortic sinus; their total lengths were 16 and 17 mm, respectively. Such ectopic ostia of RSSAs have never been described before in the anatomical literature. Given the intense clinical concern with the identification of possible bypass vessels in the myocardium, we assume that the RSSA may have a potential as a collateral route. These findings were also discussed in light of developmental and comparative anatomy.

show abstract

Section: Proximal Branches Of the Right Coronary Arterymentioning

confidence: 99%

Right superior septal artery with “normal” right coronary and ectopic “early” aortic origin: A contribution to the vascular supply of the interventricular septum of the human heart

Lüdinghausen¹,

Ohmachi²

2001

Clinical Anatomy

View full text Add to dashboard Cite

show abstract

Myocardial Infarction Without Atherosclerosis

Cheitlin¹

1975

JAMA

135

View full text Add to dashboard Cite

Coronary artery fistula: Estimation of shunt using 99m Tc‐Albumin particles

Blau

Adatepe

Begg

1977

Cathet. Cardiovasc. Diagn.

View full text Add to dashboard Cite

A 60-year-old man presented with complaints on angina pectoris and was found to have a coronary artery fistula between his left main truck and main pulmonary artery. Particles of 99m Tc-Albumin were injected in the ostium of the left coronary artery, and differential radioactive counts were injected in the ostium of the left coronary artery, and differential radioactive counts were obtained over both lung fields and myocardium. The degree of left to right shunt was calculated at 56% of total left coronary artery flow. The patient underwent ligation of the fistula without any complications. This case report represents a new application of myocardial radioisotopic scanning.

show abstract

Congenital coronary artery anomalies. Experience at Stanford University Hospital (1963-1971)

Cited by 10 publications

References 13 publications

Right superior septal artery with “normal” right coronary and ectopic “early” aortic origin: A contribution to the vascular supply of the interventricular septum of the human heart

Right superior septal artery with “normal” right coronary and ectopic “early” aortic origin: A contribution to the vascular supply of the interventricular septum of the human heart

Myocardial Infarction Without Atherosclerosis

Coronary artery fistula: Estimation of shunt using 99m Tc‐Albumin particles

Contact Info

Product

Resources

About