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.
| Location | Lateral 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 Supply | Sinoatrial nodal artery; Right coronary artery (atrial branches) |
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.
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.
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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