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Home › Body Atlas › Organs › Crista Terminalis
Organ Chest

Crista Terminalis

crista terminalis

The crista terminalis is a smooth muscular ridge running down the inside of the right atrium from the opening of the superior vena cava to that of the inferior vena cava. It separates the smooth-walled sinus venarum behind from the ridged, pectinate part of the atrium in front. On the outside it corresponds to a shallow groove called the sulcus terminalis.

Anatomical Data

Structure & Supply

LocationLateral wall of the right atrium, between the openings of the superior and inferior venae cavae, with the SA node at its upper end.
Parts
Blood SupplySinoatrial nodal artery; Right coronary artery (atrial branches)
Biomechanics

Function & Actions

Marks the embryological boundary between the sinus venosus and the primitive atrium and provides a fast conduction route for impulses spreading from the SA node down the right atrium.

Clinical Relevance

Clinical Notes

The crista terminalis is a common origin of focal atrial tachycardia. It can be prominent on echocardiography and mistaken for a mass. It forms a line of slow sideways conduction that helps define the circuit of typical atrial flutter.

Pathology

Common Injuries & Conditions

Focal Atrial Tachycardia

A fast rhythm arising from a small area, often along the crista terminalis. It may be treated with medication or catheter ablation.

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