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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.
The artery that supplies the posterior third of the interventricular septum – the posterior descending artery (PDA) [3] determines the coronary dominance. [4] If the posterior descending artery is supplied by the right coronary artery (RCA), then the coronary circulation can be classified as "right-dominant."
Posterior descending artery; Ramus or intermediate artery; Right coronary artery. Right marginal artery; Posterior descending artery; The left coronary artery arises from the aorta within the left cusp of the aortic valve and feeds blood to the left side of the heart. It branches into two arteries, the left anterior descending and the left ...
In approximately 80% of patients (right dominant), the RCA gives off the posterior descending artery (PDA). In the other 20%, of cases (left dominant or codominant), the PDA arises from the left circumflex artery or is supplied by both the right coronary artery and the left circumflex. [8]
In the other 85% of all cases the posterior interventricular artery comes out of the right coronary artery. [3] When the left circumflex supplies the posterior descending artery in those 15% of cases, it is known as a left dominant circulation.
[1] [2] It often anastomoses with the nearby parallel posterior interventricular artery, which itself is usually a continuation of the right coronary artery. [ 3 ] Variation
The posterior interventricular sulcus or posterior longitudinal sulcus is one of the two grooves separating the ventricles of the heart (the other being the anterior interventricular sulcus). They can be known as subsinosal interventricular groove or paraconal interventricular groove respectively.
right posterior interventricular artery in around 7%. [1] distal circumflex branch of left coronary artery in around 4%. [1] The right coronary artery supplies the atrioventricular node in around 90% of people. [1] [2]