Sinoatrial nodal artery
Updates to Article Attributes
The sinoatrial (SA) nodal artery is the small artery that supplies the sinoatrial (SA) node of the heart (the pacemaker).
Gross anatomy
Origin
Right coronary artery in 60% of cases and the left coronary artery in 40% of cases.
Course
The artery turns posteriorly below the superior vena caval opening.
Variant anatomy
The SA node can arise from its own opening in the anterior aortic sinus.
A study of 516 SA nodal arteries using MDCT found 96.4% of arteries were single whilst 3.6% were double. In this study only 53.4% of SA nodal arteries originated from the right coronary artery with 43% originating from the left circumflex artery.
Other variants include
- S-shaped variant 4
-<p>The <strong>sinoatrial (SA) nodal artery</strong> is the small artery that supplies the <a href="/articles/sinoatrial-node">sinoatrial (SA) node</a> of the <a href="/articles/heart">heart</a> (the pacemaker). </p><h4>Gross anatomy</h4><h5>Origin</h5><p><a href="/articles/right-coronary-artery">Right coronary artery</a> in 60% of cases and the <a href="/articles/left-main-coronary-artery-1">left coronary artery</a> in 40% of cases.</p><h5>Course</h5><p>The artery turns posteriorly below the <a href="/articles/superior-vena-cava">superior vena caval</a> opening.</p><h4>Variant anatomy</h4><p>The SA node can arise from its own opening in the anterior aortic sinus. </p><p>A study of 516 SA nodal arteries using <a href="/articles/mdct">MDCT</a> found 96.4% of arteries were single whilst 3.6% were double. In this study only 53.4% of SA nodal arteries originated from the right coronary artery with 43% originating from the <a href="/articles/circumflex-artery">left circumflex artery</a>. </p>- +<p>The <strong>sinoatrial (SA) nodal artery</strong> is the small artery that supplies the <a href="/articles/sinoatrial-node">sinoatrial (SA) node</a> of the <a href="/articles/heart">heart</a> (the pacemaker). </p><h4>Gross anatomy</h4><h5>Origin</h5><p><a href="/articles/right-coronary-artery">Right coronary artery</a> in 60% of cases and the <a href="/articles/left-main-coronary-artery-1">left coronary artery</a> in 40% of cases.</p><h5>Course</h5><p>The artery turns posteriorly below the <a href="/articles/superior-vena-cava">superior vena caval</a> opening.</p><h4>Variant anatomy</h4><p>The SA node can arise from its own opening in the anterior aortic sinus. </p><p>A study of 516 SA nodal arteries using <a href="/articles/mdct">MDCT</a> found 96.4% of arteries were single whilst 3.6% were double. In this study only 53.4% of SA nodal arteries originated from the right coronary artery with 43% originating from the <a href="/articles/circumflex-artery">left circumflex artery</a>. </p><p>Other variants include</p><ul><li>S-shaped variant <sup>4</sup>
- +</li></ul>
References changed:
- 3. Vikse J, Henry BM, Roy J, Ramakrishnan PK, Hsieh WC, Walocha JA, Tomaszewski KA. Anatomical Variations in the Sinoatrial Nodal Artery: A Meta-Analysis and Clinical Considerations. (2016) PloS one. 11 (2): e0148331. <a href="https://doi.org/10.1371/journal.pone.0148331">doi:10.1371/journal.pone.0148331</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/26849441">Pubmed</a> <span class="ref_v4"></span>
- 4. Saremi F, Channual S, Abolhoda A, Gurudevan SV, Narula J, Milliken JC. MDCT of the S-shaped sinoatrial node artery. (2008) AJR. American journal of roentgenology. 190 (6): 1569-75. <a href="https://doi.org/10.2214/AJR.07.3127">doi:10.2214/AJR.07.3127</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/18492908">Pubmed</a> <span class="ref_v4"></span>