Posterior descending artery explained

Posterior descending artery
Latin:ramus interventricularis posterior arteriae
Branchfrom:Right coronary artery
Vein:Middle cardiac vein, posterior interventricular vein[1]
Supplies:Ventricles
interventricular septum

In the coronary circulation, the posterior descending artery (PDA), also called the posterior interventricular artery (PIV, PIA, or PIVA), is an artery running in the posterior interventricular sulcus to the apex of the heart where it meets with the left anterior descending artery also known as the anterior interventricular artery. The PDA supplies the posterior third of the interventricular septum. The remaining anterior two-thirds is supplied by the left anterior descending artery, which is a branch of left coronary artery.

It is typically a branch of the right coronary artery (70%, known as right dominance). Alternately, the PDA can be a branch of the circumflex coronary artery (10%, known as left dominance) which itself is a branch of the left coronary artery. It can also be supplied by an anastomosis of the left and right coronary artery (20%, known as co-dominance).[2]

Variants have been reported.[3]

The anatomical position of the artery is not really posterior, but inferior. The terminology posterior is based on viewing the heart from the "Valentine" position, not by the heart's actual position in the body.[4]

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Notes and References

  1. Nerantzis CE, Lefkidis CA, Smirnoff TB, Agapitos EB, Davaris PS . Variations in the origin and course of the posterior interventricular artery in relation to the crux cordis and the posterior interventricular vein: an anatomical study . Anat. Rec. . 252 . 3 . 413–7 . November 1998 . 9811219. 10.1002/(SICI)1097-0185(199811)252:3<413::AID-AR9>3.0.CO;2-9. free .
  2. Book: Fuster, V . Alexander RW . O'Rourke RA . Hurst's The Heart . McGraw-Hill . 2001 . 53 . 10th . 0-07-135694-0 .
  3. Topaz O, Holdaway B, Bailey NT, Vetrovec GW . Anatomic variant of the posterior interventricular coronary artery: implications for coronary angioplasty in acute myocardial infarction . Clin Anat . 10 . 5 . 303–6 . 1997 . 9283726 . 10.1002/(SICI)1098-2353(1997)10:5<303::AID-CA2>3.0.CO;2-R.
  4. 10.1111/j.0021-8782.2004.00330.x . 205 . Cardiac anatomy revisited . Journal of Anatomy . 159–177 . Anderson . Robert H.. 1571338 . 15379923 . 2004. 3 .