GIVE AN ACCOUNT ON THE BLOOD SUPPLY OF THE HEART

.AND ITS CLINICAL IMPORTANCE

By: Mamdouh Dagsh Alshrifi

ID:321103259
 : OBJECTIVES


Introduction

Coronary Arteries

Right Coronary Artery

Left Coronary Artery

Coronary Venous

CLINICAL IMPORTANCE

Conclusion And Summary

References
INTRODUCTION

• The coronary arteries provide the main blood supply to the heart. The coronary arteries also
supply the myocardium with oxygen to allow for the contraction of the heart and thus
causing circulation of the blood throughout the body. Two main coronary arteries
originate from the base of the aorta as it exits the left ventricle: the left and right coronary
arteries. These arteries further branch into smaller arteries to supply specific parts of the
heart like the atria, ventricles, SA, and AV nodes. It is important to realize that the paths
these arteries take may vary slightly from person to person.
 CORONARY ARTERIES

• The arterial supply of the heart is provided by

Two Coronary Arteries :

 Right Coronary artery
 Left Coronary artery
• They are distributed over the cardiac surface,
within the subepicadium connective tissue.
 RIGHT CORONARY ARTERY

Arises from the anterior aortic sinus of the

ascending aorta.
Descends in the right atrioventricular groove
between the Right Auricle and the Pulmonary trunk.
At the inferior border of the heart it continues
posteriorly toanastomose with the leftcoronary.
:RIGHT CORONARY ARTERY (RCA ) SUPPLIES

• Right atrium
• Right ventricle
• part of Left Atrium
• Left ventricle
• Atrioventricular septum.
• Most of conducting system
LEFT MAIN CORONARY ARTERY

The left main coronary artery branches into:

• Circumflex artery
• Left Anterior Descending artery (LAD)

The left coronary arteries supply:

• Circumflex artery - supplies blood to the left atrium, side and back of the left ventricle
• Left Anterior Descending artery (LAD) - supplies the front and bottom of the left ventricle and the
front of the septum
 CORONARY VENOUS

• the coronary veins drain the myocardium of deoxygenated blood. In general, there is twice the
number of coronary veins as arteries, and the flow occurs during both systole and diastole.
• The coronary veins are organized into two groups: greater and smaller cardiac veins. The greater
cardiac veins consist of the coronary sinus, atrial veins, anterior cardiac veins, and veins draining the
septum. The greater cardiac veins account for 95% of all venous drainage from the heart. The
smaller cardiac veins also known as the thebesian veins are luminal vessels and drain directly into
the respective cardiac chambers.
CORONARY VENOUS

• All the venous blood from the heart

arrives at the coronary sinus which is
located in the atrioventricular groove. The
coronary sinus is the biggest cardiac vein,
and it empties directly into the right atrium
at the conjunction of the coronary and the
interventricular grooves. The coronary
sinus does have a small valve-like
structure.
 CLINICAL IMPORTANCE 

• Chest pain (angina). When coronary arteries narrow, heart may not receive enough blood
when demand is greatest particularly during physical activity. This can cause chest pain
(angina) or shortness of breath
• Abnormal heart rhythm (arrhythmia). Inadequate blood supply to the heart or damage to
heart tissue can interfere with heart's electrical impulses, causing abnormal heart rhythms.
• Myocardial ischemia occurs when blood flow to heart is reduced, preventing the heart muscle
from receiving enough oxygen. The reduced blood flow is usually the result of a partial or
complete blockage of heart's arteries (coronary arteries).
 CONCLUSION AND SUMMARY

The heart and blood vessels form an intricate network throughout the human body. The anatomy
of the four-chambered heart is central to the network and functions to maintain blood moving
throughout the body. Arteries, capillaries, and veins work in conjunction to keep all tissues
healthy by providing oxygen and other nutrients while removing carbon dioxide and other waste
through continuous blood flow.  As the body encounters parasites or infections, the immune
response is triggered and the appropriate blood components initiate a response to remove the
undesirable items. In cases of mutations or injuries to the circulatory system,other systems in the
body can be affected, thus demonstrating the importance of how the body requires the interaction
of all the systems to maintain proper function.
: REFERENCES

• Lee YJ, Park KS, Kil HR. Change of coronary artery indices according to coronary dominance
pattern in early childhood. Korean J Pediatr. 2019 Jun;62(6):240-243.
• Ahmed SS, Haider B, Regan TJ. Silent left coronary artery-cameral fistula: probable cause of
myocardial ischemia. Am Heart J. 1982 Oct;104(4 Pt 1):869–870.
• Saedi S, Parsaee M, Farrashi M, Noohi F, Mohebbi B. The role of echocardiography in anomalous
origin of coronary artery from pulmonary artery (ALCAPA): Simple tool for a complex
diagnosis. Echocardiography. 2019 Jan;36(1):177-181.
• Kastellanos S, Aznaouridis K, Vlachopoulos C, Tsiamis E, Oikonomou E, Tousoulis D. Overview
of coronary artery variants, aberrations and anomalies. World J Cardiol. 2018 Oct 26;10(10):127-
140.