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What is Crista Terminalis?

Published in Cardiac Anatomy 2 mins read

The crista terminalis is a significant internal landmark within the right atrium of the heart.

Specifically, the crista terminalis (or terminal ridge) is a ridge of myocardium – heart muscle tissue – located within the right atrium. This ridge extends along the posterolateral wall (back and side wall) of the right atrium. Its path runs between the orifice of the superior vena cava (the opening where the large vein from the upper body enters the heart) to the orifice of the inferior vena cava (IVC) (the opening where the large vein from the lower body enters the heart).

Key Features of the Crista Terminalis

Understanding the crista terminalis is important in anatomy and electrophysiology. Here's a summary of its key characteristics:

  • Alternative Name: Terminal Ridge
  • Type: Ridge of myocardium (heart muscle)
  • Location: Within the right atrium
  • Position: Along the posterolateral wall
  • Extent: Connects the orifice of the superior vena cava to the orifice of the inferior vena cava (IVC)

Here's a simple table summarizing the key details:

Feature Description
Name Crista Terminalis
Also Known As Terminal Ridge
Composition Myocardium (Heart Muscle)
Location Right Atrium, Posterolateral Wall
Extends From Superior Vena Cava Orifice
Extends To Inferior Vena Cava (IVC) Orifice

Anatomical Significance

The crista terminalis serves as a boundary within the right atrium, separating the smooth-walled part (sinus venarum, derived from the embryonic sinus venosus) from the rough-walled part (pectinate muscles, derived from the primitive atrium).

  • Boundary: Separates the sinus venarum (smooth part) from the pectinate muscles (rough part) of the right atrium.
  • Origin of Pectinate Muscles: The pectinate muscles project from the crista terminalis into the atrial cavity.
  • Electrophysiological Importance: The crista terminalis plays a role in the conduction of electrical impulses within the atrium, influencing the spread of the heart's electrical activity. The sinoatrial (SA) node, the heart's natural pacemaker, is located near the superior end of the crista terminalis.

While seemingly just a ridge, its specific location and muscular composition make it a key landmark for understanding the internal structure and electrical function of the right atrium.