Abstract
This study presents angiographic observations of normal coronary artery anatomy in living subjects, based on cineangiograms obtained from over 150 male patients at the Veterans Administration Hospital in Houston, Texas, between 1970–1971. The procedures employed Sones and Judkins methods using specialized catheterization techniques to selectively image left and right coronary arteries. Dynamic anatomical variations, arterial branching patterns, and positions of sinuses, conus arteries, and collateral anastomoses were documented with schematic diagrams and high-resolution images. Right coronary artery distribution patterns were classified relative to the crux cordis, and anatomical features such as the “Vieussens’ anastomotic ring,” sinus node arteries, marginal and diagonal branches, and interventricular septal supply were discussed. Comparative left and right anterior oblique projections were found optimal for visualizing coronary routes, with attention to positional access limitations. The work outlines foundational knowledge for interpreting ischemic angiograms and planning myocardial revascularization.
Keywords
coronary angiography coronary artery anatomy selective arteriography anterior descending posterior descending conus artery Vieussens’ ring
References
- SONES F.M., SHIREY E.K.: Cine Coronary Arteriography. Mod. Concept Cardiovasc. Dis., 31:735, 1962
- SONES F.M.: Cine Coronary Arteriography. In: The Heart, Arteries and Veins, eds. Hurst J.W., Logue R.B., McGraw-Hill, New York, 1970, p. 377
- CANDAN İ.: Sol Ventrikül Fonksiyonu ve Direkt Revaskülarizasyon, Doçentlik Tezi, Ankara, 1972
- GENSINI G.G., BUONANNO C., PALACIO A.: Coronary Anatomy in Living Man. Dis. Chest, 52:125, 1967
- JUDKINS M.P.: Percutaneous Transfemoral Selective Coronary Arteriography. Radiol. Clin. North Am., 6:467, 1968
- ABRAMS H.L., ADAMS D.F.: Coronary Arteriogram — Structural and Functional Aspects. N. Engl. J. Med., 281:1276, 1969
- JAMES T.N.: Anatomy of the Coronary Arteries. Paul B. Hoeber, New York, 1961
- BAROLDI G., SCOMAZZONI G.: Coronary Circulation in Health and Disease. U.S. Gov. Print. Office, Washington D.C., 1967
- FULTON W.F.M.: The Coronary Arteries. Charles C. Thomas, Springfield, 1965
- SCHLESINGER M.J., ZOLL P.M., WESSLER S.: The Conus Artery — A Third Coronary Artery. Am. Heart J., 38:823, 1949
- JAMES T.N.: Coronary Arteries and Veins. In: The Heart, Arteries and Veins, eds. Hurst J.W., Logue R.B., McGraw-Hill, New York, 1970, p. 33
- PAULIN S.: Coronary Angiography — Technical, Anatomical, and Clinical Study. Acta Radiol. Suppl., 233, 1964
- JAMES T.N.: Anatomy in Health and Disease. Circulation, 32:1020, 1965
- JAMES T.N., BURCH G.E.: Blood Supply of Human Interventricular Septum. Circulation, 17:391, 1958
- JAMES T.N., BURCH G.E.: Atrial Coronary Arteries in Man. Circulation, 17:90, 1958
Abstract
Bu çalışmada 1970–1971 yılları arasında Houston–Texas’taki “Veterans Administration” Hastanesi koroner arteriografi laboratuvarında selektif cineanjiyografi ile incelenen 150’yi aşkın erkek hastaya ait koroner arterlerin anatomik görüntüleri sunulmuştur. Sones ve Judkins yöntemlerine göre yapılan görüntüleme prosedürlerinde sol ve sağ koroner arterler özel kateterlerle seçici olarak görüntülenmiştir. Canlı insandaki dinamik anatomik varyasyonlar, arteriyel dallanma paternleri, sinüs konumu, konus arterleri, kollateral anastomoz yolları, Vieussens halkası ve sinüs düğümü arterleri gibi detaylar şematik diyagramlarla ve yüksek çözünürlüklü filmlerle belgelenmiştir. Sağ koroner arterin dağılımı crux cordis’e göre sınıflandırılmış; anterior–posterior dallar, atriyoventriküler düğüm arterleri, septum dalları, margina ve diagonal dallar detaylandırılmıştır. Koroner arter sisteminin sol ve sağ ön oblik konumda değerlendirilmesi optimal olarak bulunmuş; girişimsel erişim kısıtları ve anjiyografik görünüm açısından yorumlanmıştır. Çalışma, iskemik anjiyogramların değerlendirilmesi ve miyokard revaskülarizasyonu planlaması için temel bilgileri sunmaktadır.
Keywords
koroner anjiyografi koroner arter anatomisi selektif arteriografi anterior dessenden posterior dessenden konus arteri Vieussens halkası
References
- SONES F.M., SHIREY E.K.: Cine Coronary Arteriography. Mod. Concept Cardiovasc. Dis., 31:735, 1962
- SONES F.M.: Cine Coronary Arteriography. In: The Heart, Arteries and Veins, eds. Hurst J.W., Logue R.B., McGraw-Hill, New York, 1970, p. 377
- CANDAN İ.: Sol Ventrikül Fonksiyonu ve Direkt Revaskülarizasyon, Doçentlik Tezi, Ankara, 1972
- GENSINI G.G., BUONANNO C., PALACIO A.: Coronary Anatomy in Living Man. Dis. Chest, 52:125, 1967
- JUDKINS M.P.: Percutaneous Transfemoral Selective Coronary Arteriography. Radiol. Clin. North Am., 6:467, 1968
- ABRAMS H.L., ADAMS D.F.: Coronary Arteriogram — Structural and Functional Aspects. N. Engl. J. Med., 281:1276, 1969
- JAMES T.N.: Anatomy of the Coronary Arteries. Paul B. Hoeber, New York, 1961
- BAROLDI G., SCOMAZZONI G.: Coronary Circulation in Health and Disease. U.S. Gov. Print. Office, Washington D.C., 1967
- FULTON W.F.M.: The Coronary Arteries. Charles C. Thomas, Springfield, 1965
- SCHLESINGER M.J., ZOLL P.M., WESSLER S.: The Conus Artery — A Third Coronary Artery. Am. Heart J., 38:823, 1949
- JAMES T.N.: Coronary Arteries and Veins. In: The Heart, Arteries and Veins, eds. Hurst J.W., Logue R.B., McGraw-Hill, New York, 1970, p. 33
- PAULIN S.: Coronary Angiography — Technical, Anatomical, and Clinical Study. Acta Radiol. Suppl., 233, 1964
- JAMES T.N.: Anatomy in Health and Disease. Circulation, 32:1020, 1965
- JAMES T.N., BURCH G.E.: Blood Supply of Human Interventricular Septum. Circulation, 17:391, 1958
- JAMES T.N., BURCH G.E.: Atrial Coronary Arteries in Man. Circulation, 17:90, 1958
Details
| Primary Language | English |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | Research Article |
| Authors | |
| Publication Date | March 31, 1973 |
| IZ | https://izlik.org/JA43MH59GS |
| Published in Issue | Year 1973 Volume: 26 Issue: 1 |