What is the usual pattern of the posterior interventricular artery of the heart? I checked all the variation references and couldn't find it. I found a cadaveric variation of the posterior interventricular artery arising from the right marginal artery not passing in the interventricular groove and anastomosing with the anterior interventricular along the diaphragmatic surface of heart. Is there a usual pattern and in which
reference so I can write about the unusual?
The usual pattern of the coronary arteries is described in most standard medical school-level anatomy texts and references. One very nice description (including data on variations) is found in Gray's Anatomy, 39th edition, 2005, Susan Standing, (Ed.), Elsevier Churchill Livingstone, pages 1014-1018. The e-edition of this text offers updated, on-line references in addition to the print version. I enthusiastically recommend this reference.
Briefly, in usual right coronary artery dominance (~70%), the posterior interventricular artery arises as the terminal branch of the right coronary artery, and lies in the interventricular groove. It is usually a single vessel, but may be flanked by parallel branches of the right coronary artery. The main variation (~10%) is left coronary dominance, in which the posterior interventricular arises from the left coronary artery. Again, the Gray's Anatomy reference is very nice for the fuller details.
Education Level:
Undergraduate Faculty