Koch's triangle, named after the German

pathologist Pathology is the study of the causes and effects of disease or injury. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in t ...

Walter Koch, is an anatomical area located in the superficial paraseptal

endocardium The endocardium is the innermost layer of tissue that lines the chambers of the heart. Its cells are embryologically and biologically similar to the endothelial cells that line blood vessels. The endocardium also provides protection to the v ...

of the

right atrium The atrium ( la, ātrium, , entry hall) is one of two upper chambers in the heart that receives blood from the circulatory system. The blood in the atria is pumped into the heart ventricles through the atrioventricular valves. There are two a ...

, which its boundaries are the

coronary Coronary () may, as shorthand in English, be used to mean: * Coronary circulation, the system of arteries and veins in mammals ** Coronary artery disease **Coronary occlusion ** A myocardial infarction, a heart attack As adjective * Referring to ...

sinus orifice, tendon of Todaro, and septal leaflet of the right atrioventricular valve. It is anatomically significant because the

atrioventricular node The atrioventricular node or AV node electrically connects the heart's atria and ventricles to coordinate beating in the top of the heart; it is part of the electrical conduction system of the heart. The AV node lies at the lower back section of t ...

is located at the apex of the triangle. Also the elements anatomically near to it are the membranous

septum In biology, a septum (Latin for ''something that encloses''; plural septa) is a wall, dividing a cavity or structure into smaller ones. A cavity or structure divided in this way may be referred to as septate. Examples Human anatomy * Interat ...

and the Eustachian ridge. This triangle ends at the site of the

coronary sinus In anatomy, the coronary sinus () is a collection of veins joined together to form a large vessel that collects blood from the heart muscle ( myocardium). It delivers deoxygenated blood to the right atrium, as do the superior and inferior ven ...

orifice inferiorly and, continuous with the sub-Eustachian pouch. The tendon of Todaro forms the

hypotenuse In geometry, a hypotenuse is the longest side of a right-angled triangle, the side opposite the right angle. The length of the hypotenuse can be found using the Pythagorean theorem, which states that the square of the length of the hypotenuse eq ...

of the triangle and the base is formed by the coronary sinus orifice and the vestibule of the right atrium. Variations in the size of Koch's triangle are common.

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* *{{cbignore, bot=medic Cardiac anatomy Human anatomy Anatomy named for one who described it

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