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. 1987 Aug;153:1–16.

The applied anatomy of the arterial blood supply to the heart in man.

S P Allwork 1
PMCID: PMC1261778  PMID: 3323153

Abstract

The applied anatomy of the coronary arterial and collateral circulations has been reviewed together with some of the more important variants of origin, branching and disposition. There is a very wide range of variability among coronary artery patterns, and some of them can of themselves give rise to illness and even death. Others may exacerbate acquired disease. The increasing use of coronary arteriography and other forms of imaging will continue to reveal hitherto undescribed variants, while the study of coronary artery disease, so common in the Western world, will eventually elucidate the natural history of the coronary collateral circulation.

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Selected References

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  1. ALEXANDER R. W., GRIFFITH G. C. Anomalies of the coronary arteries and their clinical significance. Circulation. 1956 Nov;14(5):800–805. doi: 10.1161/01.cir.14.5.800. [DOI] [PubMed] [Google Scholar]
  2. Achtel R. A., Zaret B. L., Iben A. B., Hurley E. J. Surgical correction of congenital left coronary artery-main pulmonary artery fistula in association with anomalous right coronary artery. J Thorac Cardiovasc Surg. 1975 Jul;70(1):46–51. [PubMed] [Google Scholar]
  3. Ahmed S. S., Haider B., Regan T. J. Silent left coronary artery-cameral fistula: probable cause of myocardial ischemia. Am Heart J. 1982 Oct;104(4 Pt 1):869–870. doi: 10.1016/0002-8703(82)90024-2. [DOI] [PubMed] [Google Scholar]
  4. Allwork S. P., Bentall R. H. Truncus solitarius pulmonalis. Br Heart J. 1973 Sep;35(9):977–980. doi: 10.1136/hrt.35.9.977. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Allwork S. P. Dryander of Marburg's woodcut (the oldest transposition?) Eur J Cardiol. 1976 Mar;4(1):105–107. [PubMed] [Google Scholar]
  6. Ambrose J. A., Fuster V. Coronary collateral vessels and myocardial protection. Int J Cardiol. 1983 Jul;3(4):417–420. doi: 10.1016/0167-5273(83)90112-2. [DOI] [PubMed] [Google Scholar]
  7. Archie J. P., Jr, Brown R. Effect of preload on the transmural distribution of diastolic coronary blood flow. J Surg Res. 1974 Mar;16(3):215–223. doi: 10.1016/0022-4804(74)90034-1. [DOI] [PubMed] [Google Scholar]
  8. BAROLDI G., MANTERO O., SCOMAZZONI G. The collaterals of the coronary arteries in normal and pathologic hearts. Circ Res. 1956 Mar;4(2):223–229. doi: 10.1161/01.res.4.2.223. [DOI] [PubMed] [Google Scholar]
  9. BLOOR C. M., LIEBOW A. A. CORONARY COLLATERAL CIRCULATION. Am J Cardiol. 1965 Aug;16:238–252. doi: 10.1016/0002-9149(65)90479-0. [DOI] [PubMed] [Google Scholar]
  10. Bosc E., Grolleau-Raoux R., Bertinchant J. P. Les fistules congénitales multiples coronaro-ventriculaires gauches. A propos de 7 observations. Arch Mal Coeur Vaiss. 1985 Oct;78(10):1552–1557. [PubMed] [Google Scholar]
  11. Brazier J., Hottenrott C., Buckberg G. Noncoronary collateral myocardial blood flow. Ann Thorac Surg. 1975 Apr;19(4):426–435. doi: 10.1016/s0003-4975(10)64044-1. [DOI] [PubMed] [Google Scholar]
  12. CASTORINA S. Le arterie coronarie del cuore umano; ricerche anatomo radiografiche sulla loro distribuzione e sulle loro anastomosi. Arch Ital Anat Embriol. 1957;62(3):261–284. [PubMed] [Google Scholar]
  13. Cox J. L., Pass H. I., Wechsler A. S., Oldham H. N., Jr, Sabiston D. C., Jr Coronary collateral blood flow in acute myocardial infarction. J Thorac Cardiovasc Surg. 1975 Jan;69(1):117–125. [PubMed] [Google Scholar]
  14. Endo M., Lee Y. W., Hayashi H., Wada J. Angiographic evidence of myocardial squeezing accompanying tachyarrhythmia as a possible cause of myocardial infarction. Chest. 1978 Mar;73(3):431–433. doi: 10.1378/chest.73.3.431. [DOI] [PubMed] [Google Scholar]
  15. FUHRMAN G. J., FUHRMAN F. A., FIELD J. Metabolism of rat heart slices, with special reference to effects of temperature and anoxia. Am J Physiol. 1950 Dec;163(3):642–647. doi: 10.1152/ajplegacy.1950.163.3.642. [DOI] [PubMed] [Google Scholar]
  16. Faruqui A. M., Maloy W. C., Felner J. M., Schlant R. C., Logan W. D., Symbas P. Symptomatic myocardial bridging of coronary artery. Am J Cardiol. 1978 Jun;41(7):1305–1310. doi: 10.1016/0002-9149(78)90890-1. [DOI] [PubMed] [Google Scholar]
  17. GEIRINGER E. The mural coronary. Am Heart J. 1951 Mar;41(3):359–368. doi: 10.1016/0002-8703(51)90036-1. [DOI] [PubMed] [Google Scholar]
  18. Gregg D. E. The natural history of coronary collateral development. Circ Res. 1974 Sep;35(3):335–344. doi: 10.1161/01.res.35.3.335. [DOI] [PubMed] [Google Scholar]
  19. Griggs D. M., Jr, Tchokoev V. V., Chen C. C. Transmural differences in ventricular tissue substrate levels due to coronary constriction. Am J Physiol. 1972 Mar;222(3):705–709. doi: 10.1152/ajplegacy.1972.222.3.705. [DOI] [PubMed] [Google Scholar]
  20. Harris C. N., Kaplan M. A., Parker D. P., Aronow W. S., Ellestad M. H. Anatomic and functional correlates of intercoronary collateral vessels. Am J Cardiol. 1972 Nov 8;30(6):611–614. doi: 10.1016/0002-9149(72)90597-8. [DOI] [PubMed] [Google Scholar]
  21. Hirzel H. O., Nelson G. R., Sonnenblick E. H., Kirk E. S. Redistribution of collateral blood flow from necrotic to surviving myocardium following coronary occlusion in the dog. Circ Res. 1976 Aug;39(2):214–222. doi: 10.1161/01.res.39.2.214. [DOI] [PubMed] [Google Scholar]
  22. Honey M., Lincoln J. C., Osborne M. P., de Bono D. P. Coarctation of aorta with right aortic arch. Report of surgical correction in 2 cases: one with associated anomalous origin of left circumflex coronary artery from the right pulmonary artery. Br Heart J. 1975 Sep;37(9):937–945. doi: 10.1136/hrt.37.9.937. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Hutchinson M. C. A study of the artrial arteries in man. J Anat. 1978 Jan;125(Pt 1):39–54. [PMC free article] [PubMed] [Google Scholar]
  24. KLINE J. L., STERN H., BLOOMER W. E., LIEBOW A. A. The application of an induced bronchial collateral circulation to the coronary arteries by cardiopneumonopexy. I. Anatomical observations. Am J Pathol. 1956 Jul-Aug;32(4):663–693. [PMC free article] [PubMed] [Google Scholar]
  25. Lambert P. R., Hess D. S., Bache R. J. Effect of exercise on perfusion of collateral-dependent myocardium in dogs with chronic coronary artery occlusion. J Clin Invest. 1977 Jan;59(1):1–7. doi: 10.1172/JCI108606. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Leberthson R. R., Dinsmore R. E., Bharati S., Rubenstein J. J., Caulfield J., Wheeler E. O., Harthorne J. W., Lev M. Aberrant coronary artery origin from the aorta. Diagnosis and clinical significance. Circulation. 1974 Oct;50(4):774–779. doi: 10.1161/01.cir.50.4.774. [DOI] [PubMed] [Google Scholar]
  27. Liberthson R. R., Dinsmore R. E., Fallon J. T. Aberrant coronary artery origin from the aorta. Report of 18 patients, review of literature and delineation of natural history and management. Circulation. 1979 Apr;59(4):748–754. doi: 10.1161/01.cir.59.4.748. [DOI] [PubMed] [Google Scholar]
  28. McKEEVER W. P., GREGG D. E., CANNEY P. C. Oxygen uptake of the nonworking left ventricle. Circ Res. 1958 Sep;6(5):612–623. doi: 10.1161/01.res.6.5.612. [DOI] [PubMed] [Google Scholar]
  29. McNamara J. J., Gross R. E. Congenital coronary artery fistula. Surgery. 1969 Jan;65(1):59–69. [PubMed] [Google Scholar]
  30. Morales A. R., Romanelli R., Boucek R. J. The mural left anterior descending coronary artery, strenuous exercise and sudden death. Circulation. 1980 Aug;62(2):230–237. doi: 10.1161/01.cir.62.2.230. [DOI] [PubMed] [Google Scholar]
  31. Nolewajka A. J., Kostuk W. J., Rechnitzer P. A., Cunningham D. A. Exercise and human collateralization: an angiographic and scintigraphic assessment. Circulation. 1979 Jul;60(1):114–121. doi: 10.1161/01.cir.60.1.114. [DOI] [PubMed] [Google Scholar]
  32. Ogden J. A. Congenital anomalies of the coronary arteries. Am J Cardiol. 1970 Apr;25(4):474–479. doi: 10.1016/0002-9149(70)90016-0. [DOI] [PubMed] [Google Scholar]
  33. Ott D. A., Cooley D. A., Pinsky W. W., Mullins C. E. Anomalous origin of circumflex coronary artery from right pulmonary artery: report of a rare anomaly. J Thorac Cardiovasc Surg. 1978 Aug;76(2):190–194. [PubMed] [Google Scholar]
  34. POLACEK P., KRALOVE H. Relation of myocardial bridges and loops on the coronary arteries to coronary occulsions. Am Heart J. 1961 Jan;61:44–52. doi: 10.1016/0002-8703(61)90515-4. [DOI] [PubMed] [Google Scholar]
  35. Penther P., Blanc J. J., Boschat J., Granatelli D. L'artère interventriculaire antérieure intramurale. Etude anatomique. Arch Mal Coeur Vaiss. 1977 Oct;70(10):1075–1079. [PubMed] [Google Scholar]
  36. Raphael M. J., Hawtin D. R., Allwork S. P. The angiographic anatomy of the coronary arteries. Br J Surg. 1980 Mar;67(3):181–187. doi: 10.1002/bjs.1800670307. [DOI] [PubMed] [Google Scholar]
  37. Roberts W. C., Siegel R. J., Zipes D. P. Origin of the right coronary artery from the left sinus of valsalva and its functional consequences: analysis of 10 necropsy patients. Am J Cardiol. 1982 Mar;49(4):863–868. doi: 10.1016/0002-9149(82)91970-1. [DOI] [PubMed] [Google Scholar]
  38. SMITH J. C. Review of single coronary artery with report of 2 cases. Circulation. 1950 May;1(5):1168–1175. doi: 10.1161/01.cir.1.5.1168. [DOI] [PubMed] [Google Scholar]
  39. Shimizu T., Nakajima M., Shimazu K., Sakamoto S., Yuasa K., Aida H., Tsuji S., Takekoshi N., Murakami E. A comparison of the results of A-C bypass grafting in collateral and non-collateral groups. J Cardiovasc Surg (Torino) 1986 May-Jun;27(3):316–322. [PubMed] [Google Scholar]
  40. Stolte M., Weis P., Prestele H. Die koronare Muskelbrücke des Ramus descendens anterior. Virchows Arch A Pathol Anat Histol. 1977 Aug 9;375(1):23–36. doi: 10.1007/BF00430642. [DOI] [PubMed] [Google Scholar]

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