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The coronary arteries can constrict as a response to various stimuli, mostly chemical. This is known as a coronary reflex. There is also a rare condition known as spontaneous coronary artery dissection, in which the wall of one of the coronary arteries tears, causing severe pain. [10]
Coronary vessel branches that remain on the surface of the heart and follow the sulci of the heart are called epicardial coronary arteries. [1] The left coronary artery distributes blood to the left side of the heart, the left atrium and ventricle, and the interventricular septum.
The healthy epicardial coronary artery consists of three layers, the tunica intima, media, and adventitia. [ 10 ] [ 11 ] Atheroma and changes in the artery wall usually result in small aneurysms (enlargements) just large enough to compensate for the extra wall thickness with no change in the lumen diameter.
In the coronary circulation, the posterior descending artery (PDA), also called the posterior interventricular artery (PIV, PIA, or PIVA), is an artery running in the posterior interventricular sulcus to the apex of the heart where it meets with the left anterior descending artery also known as the anterior interventricular artery.
Coronary artery disease, also known as "ischemic heart disease", [24] is a group of diseases that includes: stable angina, unstable angina, myocardial infarction, and is one of the causes of sudden cardiac death. [25] It is within the group of cardiovascular diseases of which it is the most common type. [26]
Coronary arteries are vessels supplying blood and nutrients to the heart muscle (). [1]Coronary arteries arise from ostia, openings of the aorta (the largest artery in the human body) at the upper third or middle third of the sinuses of Valsalva (the first part of the big pipe coming off the main pumping chamber).