Figure 1.
The anatomy of His bundle and LBB. (A) The His bundle comprises two segments: PHB and BHB. LBB originates from the BHB of His located below the MS. The RBB appears as a continuation of the bundle of His after the LBB has been given off. (B) LBB can be seen underlying the endocardium below the MS, which is encompassed between the NC and RC aortic cusps and the summit of the ventricular septum. Then, it produces its two main divisions, AD and PD, both heading the anterior and posterior papillary muscles, respectively (23). LBB, left bundle branch; PHB, penetrating portion of His bundle; BHB, branching portion of His bundle; MS, membranous septum; RBB, right bundle branch; NC, non-coronary aortic cusps; RC, right coronary aortic cusps; AD, anterior division; PD, posterior division.