Brazilian Journal of Cardiovascular Surgery
Print version ISSN 0102-7638
On-line version ISSN 1678-9741
JATENE, Marcelo B. et al. The importance of atrial coronary circulation on Cox surgery for control atrial fibrillation. Rev Bras Cir Cardiovasc [online]. 1999, vol.14, n.1, pp.32-38. ISSN 0102-7638. http://dx.doi.org/10.1590/S0102-76381999000100008.
Since the appearance of new surgical techniques such as Cox surgery employed for the treatment of cardiac arrhythmia, especially for atrial fibrillation, the knowledge of coronary artery characteristics and courses has been of increasing importance. The aim of this study was the analysis of this circulation and definition of atrial irrigation patterns. Hence, the coronary arteries of 30 normal human hearts were injected with colored resin and carefully dissected. After macroscopic evaluation of the hearts, no atrial irrigation patterns were found. However, when only the sinus atrial node was analyzed, it showed origin patterns as well as course patterns. Seven origin and route patterns of this artery are described, considering the anatomical structure of the atria as reference points. The described patterns, differently from others found in the literature, are easy to understand and apply in surgical techniques which deal with the atria.
Keywords : Coronary circulation [physiology]; Atrial fibrillation [surgery]; Heart atrium [physiology]; Sinoatrial node.