Terminal sulcus of the heart

From WikiMD's Wellness Encyclopedia

Terminal Sulcus of the Heart[edit | edit source]

The terminal sulcus, also known as the coronary sulcus or atrioventricular groove, is an important anatomical feature of the heart. It is a groove that encircles the heart and separates the atria from the ventricles. In this article, we will explore the structure and function of the terminal sulcus in detail.

Anatomy[edit | edit source]

The terminal sulcus is a shallow groove that runs horizontally around the heart. It is located on the external surface of the heart, between the atria and the ventricles. The sulcus is formed by the reflection of the visceral pericardium onto the external surface of the heart.

The terminal sulcus marks the boundary between the atria and the ventricles. It separates the superior part of the heart, which includes the atria, from the inferior part, which includes the ventricles. The sulcus is not a complete barrier, as it contains small openings for blood vessels and other structures to pass through.

Function[edit | edit source]

The terminal sulcus serves several important functions in the heart. Firstly, it helps to anchor the heart within the thoracic cavity. The sulcus provides stability and support to the heart, preventing excessive movement during cardiac contractions.

Secondly, the terminal sulcus plays a role in the circulation of blood within the heart. It contains the coronary arteries, which supply oxygenated blood to the heart muscle. These arteries run within the sulcus, branching off into smaller vessels that penetrate the myocardium.

Additionally, the terminal sulcus houses the coronary veins, which drain deoxygenated blood from the heart muscle. These veins accompany the coronary arteries within the sulcus and eventually merge to form the coronary sinus, which empties into the right atrium.

Clinical Significance[edit | edit source]

The terminal sulcus is an important landmark in cardiac surgery and imaging. Surgeons use the sulcus as a reference point during procedures such as coronary artery bypass grafting. It helps them identify the location of the coronary arteries and avoid damaging them.

In medical imaging, the terminal sulcus can be visualized using techniques such as echocardiography or cardiac magnetic resonance imaging (MRI). These imaging modalities allow healthcare professionals to assess the structure and function of the heart, including the presence of any abnormalities within the terminal sulcus.

Conclusion[edit | edit source]

The terminal sulcus is a crucial anatomical feature of the heart. It separates the atria from the ventricles and provides stability to the heart. It also houses the coronary arteries and veins, which are essential for the circulation of blood within the heart muscle. Understanding the anatomy and function of the terminal sulcus is important for healthcare professionals involved in the diagnosis and treatment of cardiac conditions.

See Also[edit | edit source]

References[edit | edit source]

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Contributors: Prab R. Tumpati, MD