Anterior two-thirds of the interventricular septum

Territory

The muscular septum from the membranous part to the apex, carrying the bundle branches; the posterior third belongs to the posterior descending artery.

Traced from the start

  1. Left (posterior) aortic sinus and left main stem
  2. Left anterior descending (anterior interventricular) artery
  3. Septal perforating branches of the LAD
  4. Anterior two-thirds of the interventricular septum

Detail

Supplied by
Septal perforators of the LAD
Leads
V1 and V2 (septal)

When it goes wrong

Septal infarction on day 3 to 7

Ventricular septal rupture: new harsh pansystolic murmur at the left sternal edge with a thrill, and a step-up in oxygen saturation from right atrium to right ventricle

Practise this structure

1 question in the bank tagged Myocardial Oxygen Supply.