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Right coronary

Right coronary artery
Gray492.png
Sternocostal (front) surface of heart. (Right coronary artery labeled at left.)
Details
Source ascending aorta
Supplies right atrium (RA), right ventricle (RV), & 25% to 35% of left ventricle.
Identifiers
Latin arteria coronaria dextra
Dorlands
/Elsevier
a_61/12154058
TA A12.2.03.101
FMA 50039
Anatomical terminology
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In the coronary circulation, 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 branches into the posterior descending artery and the right marginal artery. Although rare, several anomalous courses of the right coronary artery have been described including origin from the left aortic sinus.

At the origin of the RCA is the conus artery.

In addition to supplying blood to the right ventricle (RV), the RCA supplies 25% to 35% of the left ventricle (LV).

In 85% of patients (Right Dominant), the RCA gives off the posterior descending artery (PDA). In the other 15% of cases (Left Dominant), the PDA is given off by the left circumflex artery. The PDA supplies the inferior wall, ventricular septum, and the posteromedial papillary muscle.

The RCA also supplies the SA nodal artery in 60% of people. The other 40% of the time, the SA nodal artery is supplied by the left circumflex artery.

Right coronary artery

Base of ventricles exposed by removal of the atria.

The arch of the aorta, and its branches.

Plan of the branches.

Diagram of a myocardial infarction.

Aorta and coronary arteries at autopsy. The proximal portion of the RCA and its ostium can be seen at the lower left.


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