Source Left coronary artery TA A12.2.03.206 | Dorlands
/Elsevier r_02/12689380 | |
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Branches Left atrial branch
left marginal artery
posterolateral artery
sinuatrial nodal artery (in some people)
posterior interventricular artery (in some people) Supplies Posterolateral left ventricle, anterolateral papillary muscle, the sinoatrial nodal artery in 38% of people. Latin Ramus circumflexus arteriae coronariae sinistrae | ||
The "LCX", or left circumflex artery (or circumflex artery, or circumflex branch of the left coronary artery) is an artery of the heart.
Contents
Course
It follows the left part of the coronary sulcus, running first to the left and then to the right, reaching nearly as far as the posterior longitudinal sulcus. There have been multiple anomalies described, for example the left circumflex having an aberrant course from the right coronary artery.
Branches
The circumflex artery curves to the left around the heart within the coronary sulcus, giving rise to one or more left marginal arteries (also called obtuse marginal branches (OM)) as it curves toward the posterior surface of the heart. It helps form the posterior left ventricular branch or posterolateral artery. The circumflex artery ends at the point where it joins to form to the posterior interventricular artery in 15% of all cases, which lies in the posterior interventricular sulcus. In the other 85% of all cases the posterior interventricular artery comes out of the right coronary artery. When the left circumflex supplies the posterior descending artery in those 15% of cases, it is known as a left dominant circulation.
Structures supplied
The LCX supplies the posterolateral left ventricle and the anterolateral papillary muscle.
It also supplies the sinoatrial nodal artery in 38% of people.
It supplies 15-25% of the left ventricle in right-dominant systems. If the coronary anatomy is left-dominant, the LCX supplies 40-50% of the left ventricle. (See Coronary circulation for description of dominance.)