Crux cordis

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Back side and base of the heart. The coronary sinus (labeled) runs in the coronary sulcus; the middle cardiac vein (labeled) runs in the posterior interventricular sulcus. The two sulci meet in the crux cordis. Gray491.png
Back side and base of the heart. The coronary sinus (labeled) runs in the coronary sulcus; the middle cardiac vein (labeled) runs in the posterior interventricular sulcus. The two sulci meet in the crux cordis.

The crux cordis or crux of the heart (from Latin "crux" meaning "cross") is the area on the lower back side of the heart where the coronary sulcus (the groove separating the atria from the ventricles) and the posterior interventricular sulcus (the groove separating the left from the right ventricle) meet. [1] It is important surgically because the atrioventricular nodal artery, a small but vital vessel, passes in proximity to the crux of the heart. [2] It is the anastomotic point of right and left coronary artery.

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<span class="mw-page-title-main">Heart</span> Organ found inside most animals

The heart is a muscular organ in most animals. This organ pumps blood through the blood vessels of the circulatory system. The pumped blood carries oxygen and nutrients to the body, while carrying metabolic waste such as carbon dioxide to the lungs. In humans, the heart is approximately the size of a closed fist and is located between the lungs, in the middle compartment of the chest.

<span class="mw-page-title-main">Coronary circulation</span> Circulation of blood in the blood vessels of the heart muscle (myocardium)

Coronary circulation is the circulation of blood in the blood vessels that supply the heart muscle (myocardium). Coronary arteries supply oxygenated blood to the heart muscle. Cardiac veins then drain away the blood after it has been deoxygenated. Because the rest of the body, and most especially the brain, needs a steady supply of oxygenated blood that is free of all but the slightest interruptions, the heart is required to function continuously. Therefore its circulation is of major importance not only to its own tissues but to the entire body and even the level of consciousness of the brain from moment to moment. Interruptions of coronary circulation quickly cause heart attacks, in which the heart muscle is damaged by oxygen starvation. Such interruptions are usually caused by coronary ischemia linked to coronary artery disease, and sometimes to embolism from other causes like obstruction in blood flow through vessels.

<span class="mw-page-title-main">Papillary muscle</span>

The papillary muscles are muscles located in the ventricles of the heart. They attach to the cusps of the atrioventricular valves via the chordae tendineae and contract to prevent inversion or prolapse of these valves on systole. The papillary muscles constitute about 10% of the total heart mass.

<span class="mw-page-title-main">Coronary arteries</span> Artery of the coronary circulation which transports blood into and out of the cardiac muscle

The coronary arteries are the arterial blood vessels of coronary circulation, which transport oxygenated blood to the heart muscle. The heart requires a continuous supply of oxygen to function and survive, much like any other tissue or organ of the body.

<span class="mw-page-title-main">Atrioventricular node</span> Part of the electrical conduction system of the heart

The atrioventricular node or AV node electrically connects the heart's atria and ventricles to coordinate beating in the top of the heart; it is part of the electrical conduction system of the heart. The AV node lies at the lower back section of the interatrial septum near the opening of the coronary sinus, and conducts the normal electrical impulse from the atria to the ventricles. The AV node is quite compact.

<span class="mw-page-title-main">Atrium (heart)</span> Part of the human heart

The atrium is one of two upper chambers in the heart that receives blood from the circulatory system. The blood in the atria is pumped into the heart ventricles through the atrioventricular valves.

<span class="mw-page-title-main">Right bundle branch block</span> Heart block in the right ventricle

A right bundle branch block (RBBB) is a heart block in the right bundle branch of the electrical conduction system.

<span class="mw-page-title-main">Right coronary artery</span>

In the blood supply of the heart, the right coronary artery (RCA) is an artery originating above the right cusp of the aortic valve, at the right aortic sinus in the heart. It travels down the right coronary sulcus, towards the crux of the heart. It gives off many branches, including the sinoatrial nodal artery, right marginal artery, posterior interventricular artery, conus artery, and atrioventricular nodal branch. It contributes the right side of the heart, and parts of the interventricular septum.

<span class="mw-page-title-main">Interventricular septum</span> Wall of tissue separating ventricles of human heart

The interventricular septum is the stout wall separating the ventricles, the lower chambers of the heart, from one another.

In cardiology, the cardiac skeleton, also known as the fibrous skeleton of the heart, is a high-density homogeneous structure of connective tissue that forms and anchors the valves of the heart, and influences the forces exerted by and through them. The cardiac skeleton separates and partitions the atria from the ventricles.

<span class="mw-page-title-main">Coronary sinus</span> Set of veins which drain blood from the myocardium (heart muscle)

The coronary sinus is the largest vein of the heart. It drains over half of the deoxygenated blood from the heart muscle into the right atrium. It begins on the backside of the heart, in between the left atrium, and left ventricle; it begins at the junction of the great cardiac vein, and oblique vein of the left atrium. It receives multiple tributaries. It passes across the backside of the heart along a groove between left atrium and left ventricle, then drains into the right atrium at the orifice of the coronary sinus.

<span class="mw-page-title-main">Coronary sulcus</span> Groove on the surface of the heart that separates the atria from the ventricles

The coronary sulcus is a groove on the surface of the heart at the base of right auricle that separates the atria from the ventricles. The structure contains the trunks of the nutrient vessels of the heart, and is deficient in front, where it is crossed by the root of the pulmonary trunk. On the posterior surface of the heart, the coronary sulcus contains the coronary sinus. The right coronary artery, circumflex branch of left coronary artery, and small cardiac vein all travel along parts of the coronary sulcus.

<span class="mw-page-title-main">Posterior interventricular artery</span> Artery supplying the heart

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

<span class="mw-page-title-main">Circumflex branch of left coronary artery</span> Artery of heart

The circumflex branch of left coronary artery is a branch of the left coronary artery. It winds around the left side of the heart along the atrioventricular groove. It supplies the posterolateral portion of the left ventricle.

<span class="mw-page-title-main">Anterior interventricular sulcus</span> Groove separating the hearts ventricles

The anterior interventricular sulcus is one of two grooves separating the ventricles of the heart. It is situated on the sternocostal surface of the heart, close to the left margin of the heart. It extends between the coronary sulcus, and the apex of the heart; upon reaching the diaphragmatic surface of the heart, it ends at the notch of cardiac apex. It contains the anterior interventricular branch of the left coronary artery, and great cardiac vein.

<span class="mw-page-title-main">Moderator band (heart)</span>

The moderator band is a band of cardiac muscle found in the right ventricle of the heart. It is well-marked in sheep and some other animals. It extends from the base of the anterior papillary muscle to the ventricular septum.

<span class="mw-page-title-main">Sinoatrial nodal artery</span>

The sinoatrial nodal artery is an artery of the heart which supplies the sinoatrial node, the natural pacemaker center of the heart. It is usually a branch of the right coronary artery. It passes betweeen the right atrium, and the opening of the superior vena cava.

<span class="mw-page-title-main">Atrioventricular nodal branch</span>

The atrioventricular nodal branch is a coronary artery that supplies arterial blood to the atrioventricular node, which is responsible for initiating muscular contraction of the ventricles. The AV nodal branch is most often a branch of the right coronary artery.

<span class="mw-page-title-main">Heart development</span>

Heart development, also known as cardiogenesis, refers to the prenatal development of the heart. This begins with the formation of two endocardial tubes which merge to form the tubular heart, also called the primitive heart tube. The heart is the first functional organ in vertebrate embryos.

The heart is a muscular organ situated in the mediastinum. It consists of four chambers, four valves, two main arteries, and the conduction system. The left and right sides of the heart have different functions: the right side receives de-oxygenated blood through the superior and inferior venae cavae and pumps blood to the lungs through the pulmonary artery, and the left side receives saturated blood from the lungs.

References

  1. Magherini, Andrea; Azzolina, Gaetano; Careri, Jeanine (February 1984). "Anatomy of the echocardiographic crux cordis in the evaluation of the spectrum of atrioventricular valve atresia". International Journal of Cardiology. 5 (2): 163–172. doi:10.1016/0167-5273(84)90140-2. ISSN   0167-5273. PMID   6698643.
  2. Vieira, T. H. M.; Moura, P. C.; Vieira, S. R. C.; Moura, P. R.; Silva, N. C.; Wafae, G. C.; Ruiz, C. R.; Wafae, N. (2008-03-01). "Anatomical indicators of dominance between the coronary arteries in swine". Morphologie. 92 (296): 3–6. doi:10.1016/j.morpho.2008.04.005. ISSN   1286-0115. PMID   18501658.