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Conus artery

Dr Yuranga Weerakkody ◉ and Dr Matt A. Morgan ◉ et al.

The conus artery is a small early branch off the right coronary artery (RCA) circulation.

On this page:

Article:

Gross anatomy
Variant anatomy
Related pathology
Related articles
References

Images:

Cases and figures

Gross anatomy

Supply

The artery has a variable distribution, but usually supplies a region of the anterior interventricular septum and the conus of the main pulmonary artery (hence its name).

Variant anatomy

The artery may arise directly off the right coronary cusp, and this variant appears to have a significant genetic component. The variant is present in ~50% of Americans, but 38% of Britons, 27% of Pakistanis, and only 10% of the Japanese population.

Since it supplies the interventricular septum, it may be enlarged in hypertrophic cardiomyopathy ⁴.

Related pathology

Although an acute occlusion of the tiny artery has been shown to result in S-T elevation, another more important role it serves in pathophysiology is that of a route of collateral circulation. The conus artery has been shown to collateralise with the more distal acute marginal branch in RCA stenosis/obstruction, and collateralise with the left anterior descending artery (LAD) in LAD stenosis/obstruction, providing a potentially vital collateral pathway.

References

Anatomy: Thoracic

thoracic skeleton
- thoracic cage
  - ribs
    - typical ribs
    - atypical ribs
    - variant anatomy
      - bifid ribs
  - costal cartilage
  - sternum
- thoracic spine
- articulations
muscles of the thorax
spaces of the thorax
thoracic viscera
blood supply of the thorax
- arteries
  - thoracic aorta (development)
  - pulmonary trunk
    - left pulmonary artery
      - aberrant left pulmonary artery
    - right pulmonary artery
- veins
  - superior vena cava (cavoatrial junction)
  - inferior vena cava
  - coronary veins
    - cardiac veins which drain into the coronary sinus
      - great cardiac vein
      - middle cardiac vein
      - small cardiac vein
      - posterior vein of the left ventricle
      - vein of Marshall (oblique vein of the left atrium)
    - anterior cardiac veins
    - venae cordis minimae (smallest cardiac veins or thebesian veins)
  - pulmonary veins
    - bronchial veins
lymphatics
innervation of the thorax

Article information

rID: 34498

System: Vascular, Cardiac

Section: Anatomy

Tag: cardiac, cardiac ct, anatomy, coronary artery, cases

Synonyms or Alternate Spellings:

Infundibular artery
Adipose artery
Conus arteries

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Cases and figures

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