| The conduction systems of the hearts of large mammals are very similar (1). The
                        main structures of the conduction system include the sinoatrial node (SA node),
                        the atrioventriular node (AV node), the bundle of His, the right and left main
                        bundle branches and the Purkinje fibers; all of these structures are present in
                        humans, canine, swine and ovine (1). Pacemaking is performed by the SA node,
                        located high on the right atrial wall near the junction of the superior vena
                        cava and the right atrium (3, 10, 11). Beginning in the SA node, the
                        depolarization of cells, which triggers contraction, travels through the atria
                        to the AV node, located subendocardially in the area between the coronary sinus
                        ostium, membranous septum and the septal/posterior commissure of the tricuspid
                        valve know as the "triangle of Koch". The signal then spreads to the bundle of
                        His, also located in the triangle of Koch, which penetrates through the central
                        fibrous body separating the atria and ventricles. The bundle of His then
                        bifurcates into right and left main bundle branches, which branch further to
                        become Purkinje fibers that spread conduction to the ventricles. Differences in
                        the conduction system primarily reside in the arrangement of the transitional
                        and compact components of the AV node and in the length and route of the bundle
                        of His. HumanThe AV node of the human heart is located at the base of the atrial septum,
                        anterior to the coronary sinus and just above the tricuspid valve, a location
                        that is similar to that seen in dogs (27).  Unlike in dogs and sheep, the
                        transition point, where the AV node meets the bundle of His, is difficult to
                        distinguish. The bundle of His is located just below the membranous septum at
                        the crest of the interventricular septum (27). The unbranched portion of the
                        bundle of His extends 2 to 3 millimeters before penetrating the central fibrous
                        body for a length of 0.25 to 0.75 millimeters. The bundle then bifurcates
                        immediately after emerging from the central fibrous body (27).
 
                          
                            | 
 An internal image of the septal wall within a human right atrium. Visible is the triangle of Koch where the AV node and bundle of His reside subendocardially. |    CanineThe AV node of the canine heart is located at the base of the atrial septum,
                        anterior to the coronary sinus and just above the tricuspid valve, in a position
                        similar to that seen in humans (30). The junction joining the AV node and the
                        His bundle consists of internodal tracts of myocardial fibers. At least three
                        different His bundle branches extend from the AV node via a proximal branch of
                        the His bundle (30). The penetrating bundle of the bundle of His is 1 to 1.5 mm
                        long, significantly longer than that of humans, and runs forward and downward,
                        just beneath the endocardium, through the fibrous base of the heart (30).
 
                          
                            | 
 An internal image of the septal wall  within a canine right atrium. Visible is the triangle of Koch where the AV node and bundle of His reside subendocardially.  |    OvineThe AV node of the ovine heart is located at the base of the atrial septum,
                        anterior to the coronary sinus and just above the tricuspid valve (29). This
                        position is also at the junction of the middle and posterior one-third of the os
                        cordis. The junction between the AV node and His bundle is clearly defined as
                        finger-like projects where the two tissues overlap. These two tissue types are
                        easily identifiable by both size and histological examinations (29). The
                        unbranched portion of the His bundle passes beneath the os cordis to reach the
                        right side of the ventricular septum and remains relatively deep thereafter. The
                        portion passing through the central fibrous body is ~1 mm long and extend 4 to 6
                        mm beyond the central fibrous body before bifurcating, a much more anterior
                        bifurcation than that seen in humans (29).
 
                          
                            | 
 An internal image of the septal wall  within a ovine right atrium. Visible is the triangle of Koch where the AV node and bundle of His reside subendocardially. |    PorcineThe AV node of the porcine heart lies on the right side of the crest of the
                        ventricular septum, more inferiorly on the septum than in humans (28). From the
                        bundle of His, the conduction path climbs to the right side of the summit of the
                        ventricular septum and enters the central fibrous body. Notably, the bundle of
                        His bifurcates much earlier along the conduction pathway compared to the
                        conduction system of humans (28).
 
                          
                            | 
 An internal image of the septal wall  within a swine right atrium. Visible is the triangle of Koch where the AV node and bundle of His reside subendocardially. |    |