Sinoatrial nodal artery

Case contributed by Mohamed Saber
Diagnosis certain

Presentation

Chest pain.

Patient Data

Age: 45 years
Gender: Male
ct

A severe stenotic lesion of the left circumflex coronary artery (CAD-RADS 4) is best seen in the curved planar reformatted image.

A normal sinoatrial nodal artery originates from the proximal right coronary artery.

Annotated image

The arrows point to the sinoatrial (SA) nodal artery.

Case Discussion

The sinoatrial (SA) nodal artery is a small artery that originates from the right coronary artery in 60% of cases and from the left coronary artery in 40% and supplies the sinoatrial node (the pacemaker) of the heart. 

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