coronary circulation and vasculature. coronary circulation coronary arteries provide oxygen and...

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Cardiovascular System Coronary Circulation and Vasculature

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Page 1: Coronary Circulation and Vasculature. Coronary Circulation Coronary arteries provide oxygen and nutrients to cardiac tissue. Right and left coronary arteries

Cardiovascular SystemCoronary Circulation and Vasculature

Page 2: Coronary Circulation and Vasculature. Coronary Circulation Coronary arteries provide oxygen and nutrients to cardiac tissue. Right and left coronary arteries

Coronary CirculationCoronary

arteries provide oxygen and nutrients to cardiac tissue.

Right and left coronary arteries are the aorta’s first branches.

Page 3: Coronary Circulation and Vasculature. Coronary Circulation Coronary arteries provide oxygen and nutrients to cardiac tissue. Right and left coronary arteries

Coronary CirculationCardiac veins,

carrying CO2/wastes, empty into the coronary sinus of the right atrium

Page 4: Coronary Circulation and Vasculature. Coronary Circulation Coronary arteries provide oxygen and nutrients to cardiac tissue. Right and left coronary arteries
Page 5: Coronary Circulation and Vasculature. Coronary Circulation Coronary arteries provide oxygen and nutrients to cardiac tissue. Right and left coronary arteries

Blockage of Coronary ArteriesWhat will happen if there is a clot (or

blockage from atherosclerosis) in a coronary artery?Blockage of blood supply (and therefore

O2/nutrients) to cardiac tissue Cell Death!!!=Myocardial Infarction (heart attack)

What results?Cell death!!

Page 6: Coronary Circulation and Vasculature. Coronary Circulation Coronary arteries provide oxygen and nutrients to cardiac tissue. Right and left coronary arteries

Coronary Bypass: attach artery/vein graft directly from aorta to just beyond blockage

Page 7: Coronary Circulation and Vasculature. Coronary Circulation Coronary arteries provide oxygen and nutrients to cardiac tissue. Right and left coronary arteries

Coronary Artery Balloon Angioplasty

Indication for procedure

Step One: Catheter

Page 8: Coronary Circulation and Vasculature. Coronary Circulation Coronary arteries provide oxygen and nutrients to cardiac tissue. Right and left coronary arteries

Step 2: Pre-Dye

Page 9: Coronary Circulation and Vasculature. Coronary Circulation Coronary arteries provide oxygen and nutrients to cardiac tissue. Right and left coronary arteries

Step 3: Balloon

Step 4: Stent

Page 10: Coronary Circulation and Vasculature. Coronary Circulation Coronary arteries provide oxygen and nutrients to cardiac tissue. Right and left coronary arteries

Step 5: Post-Dye

Before & After

Page 11: Coronary Circulation and Vasculature. Coronary Circulation Coronary arteries provide oxygen and nutrients to cardiac tissue. Right and left coronary arteries

Cutting Balloon: (Directional Atherectomy)

Small blades cut the plaque, balloon compresses the fatty matter into the arterial wall.

Page 12: Coronary Circulation and Vasculature. Coronary Circulation Coronary arteries provide oxygen and nutrients to cardiac tissue. Right and left coronary arteries

Rotoblation: (Rotational Atherectomy)Tip spins at a high speed and grinds away the

plaque on the arterial walls