Sinoatrial nodal artery posterior aspect of the interatrial septum. The origin of the sinoatrial node artery is not related to coronary artery dominance, which means the side (right or left) that provides the circulation to the back of the heart. In contrast, the atrioventricular nodal branch, that is the artery that brings blood to the atrioventricular node, depends on coronary artery dominance. The sinoatrial node surrounds the sinoatrial artery, which can run centrally (in 70% of individuals) or off center within the node. A left S-shaped sinoatrial artery, originating from the proximal left circumflex or LCx artery, has been described as a common
Sentinel lymph node directional, meaning that some cancers spread in a predictable fashion from where the cancer started. In these cases, if the cancer spreads it will spread first to lymph nodes (lymph glands) close to the tumor before it spreads to other parts of the body. The concept of sentinel lymph node surgery is to determine if the cancer has spread to the very first draining lymph node (called the "sentinel lymph node") or not. If the sentinel lymph node does not contain cancer, then there is a high likelihood that the cancer has not spread to any other area of the