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Re: Sp>En bisectriz = ramus intermedius - THANKS

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At 04/07/2003 12:58 PM +0100, Owen Baith wrote:

>I'm afraid I haven't been able to hammer the nail home. I found the

>following, which ties in with what said.

>http://www.emedicine.com/PED/topic2506.htm

> <snip> In an estimated 70% of patients, a

> coronary branch (termed ramus medianus, intermedius, or

> intermediate branch) arises early off the left coronary system to

> supply an area between diagonal branches from the LAD and

> obtuse branches from the Cx systems.

Thanks for the tip, Owen! I have found several references

involving coronary artery bypass grafting to the " ramus intermedius "

(seems to be more common usage in my context than " ramus

medianus " ), and at

http://www.amershamhealth.com/medcyclopaedia/Volume%20V%202/coronary%20artery.as\

p

I found the following:

.. . .

The left coronary artery usually divides into the left anterior

descending (LAD) and circumflex (Cx) arteries (Fig.1). In

about 15% of the population it trifurcates giving rise to a middle

branch, ramus medianus or intermedius.

.. . .

This would indicate that this " intermedius " branch is located between

the LAD and Cx, i.e., *bisecting* them, and (to my mind) adds weight to

the concept that the " bisectriz " or " bissectrice " must refer to what we call

the " ramus intermedius/medianus " in English.

Thanks to all who cogitated on this problem -- GuyP, G, SharonG,

C -- I think we found it (at least, I'm convinced that this " bisectriz "

= " ramus

intermedius " in my context)!

Marla

--

Marla J.F. O'Neill, M.D., M.P.H.

Medical Translation & Editing

French/Spanish/Italian>English

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