Revisiting the right atrial pectinate muscles: Anatomical variability and a simplified morphological classification - 26/08/26
Highlights |
• | The right atrial pectinate muscles show marked interindividual variability. |
• | A simplified three-type classification (I, II, III) is proposed. |
• | Type II (parallel fibers with taenia sagittalis) was the most frequent (46.7%). |
• | This framework may aid in imaging, electrophysiology, and surgical procedures. |
Summary |
Purpose |
To describe the morphological variability of the pectinate muscles (PM) and crista terminalis (CT) in the right atrium, to evaluate the presence of a taenia sagittalis (TS), and to propose a simplified anatomical classification.
Methods |
Forty-five adult human hearts without major macroscopic abnormalities were dissected following a standardized protocol exposing the CT and PM. Each specimen was documented with high-resolution photographs and independently analyzed by two cardiac surgeons. The orientation of muscular fibers, the presence and number of TS, and the degree of cross-over between bundles were recorded.
Results |
The CT was identified in all specimens. Three morphological patterns of PM organization were distinguished: type I (parallel fibers without TS), type II (parallel fibers with one or more TS), and type III (disorganized fibers with multiple cross-overs). Their respective frequencies were 33.3%, 46.7%, and 20.0%. A single TS was the most frequent configuration.
Conclusions |
The PM of the right atrium show marked anatomical variability. The proposed three-type classification provides a simplified and reproducible framework for describing their organization. Beyond anatomical description, it may offer practical relevance for imaging interpretation, electrophysiological procedures, and open cardiac surgery, while providing a basis for future studies exploring the relationship between right atrial architecture and atrial arrhythmogenesis.
Le texte complet de cet article est disponible en PDF.Keywords : Right atrium, Pectinate muscles, Crista terminalis, Taenia sagittalis, Cardiac anatomy
Plan
Vol 110 - N° 370
Article 101133- septembre 2026 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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