Articles
Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.
758 results found
Article
Selenium deficiency
Selenium deficiency (or hyposelenemia) when severe may present with arthritic and cardiac-related symptoms.
Epidemiology
Up to one billion people globally are thought to have some degree of selenium deficiency.
Phenylketonuria patients are more likely to experience selenium deficiency as man...
Article
Transthoracic echocardiography
Standard transthoracic echocardiography (TTE) is the most commonly performed form of echocardiography. It consists of five standardized windows which are obtained in a standardized sequence 1. Obtaining views from the left parasternal, apical, subcostal, and suprasternal notch windows is mandato...
Article
McConnell's sign (echocardiography)
The McConnell's sign describes a regional pattern of acute right ventricular dysfunction on transthoracic echocardiography first observed in a cohort of patients with acute pulmonary thromboembolism. In contrast to the global wall motion abnormalities observed in chronic right ventricular dysfun...
Article
Straight left heart border sign
Straight left heart border sign is a recently described finding on chest radiograph. It is a fairly specific (84%) sign of hemopericardium after a penetrating chest trauma, although sensitivity at 40% is relatively poor. Positive predictive value (PPV) was found to be 89% 1.
It is different to ...
Article
Athlete heart syndrome
Athlete heart syndrome refers to adaptations in both cardiac structure and function seen in people engaged in high-performance and endurance physical exercise.
Epidemiology
The prevalence of the condition has increased due to the increased popularity of recreational exercise, approx 3.6/100,00...
Article
Glycogen storage disease type II
Glycogen storage disease type II, also known as Pompe disease or acid maltase deficiency disease, is an inherited lysosomal storage disorder characterized by abnormal glycogen accumulation within lysosomes. It is a multisystem disorder involving the heart, skeletal muscle and liver. It is caused...
Article
Left atrial aneurysm
Left arterial aneurysms refer to rare focal outpouchings arising from the left atrium. They can be congenital or acquired. Congenital left atrial aneurysms can be further divided into intra- and extra-pericardial types.
Clinical presentation
Patients may be asymptomatic or present with atrial ...
Article
Angina
Angina or angina pectoris is cardiac chest pain that occurs as the result of myocardial ischemia.
Clinical presentation
Angina is classically described as substernal chest discomfort that is of a typical quality and duration (heavy, tight, ‘bandlike’ pain that lasts for minutes at a time). Ang...
Article
Right ventricular function (point of care ultrasound)
Right ventricular function is often measured in point-of-care ultrasonography as a composite of the right ventricular size, wall measurements, and contractile efforts.
Terminology
The right ventricle (RV) can be anatomically divided into an inflow portion, an outflow portion, and an apex. Con...
Article
Ventricular interdependence
Ventricular interdependence (or ventricular coupling) is a phenomenon whereby the function of one ventricle is altered by changes in the filling of the other ventricle. This leads to increase in volume of one ventricle associated with a decreased volume in the opposite ventricle 1.
This conditi...
Article
Carpentier classification of mitral valve regurgitation
The Carpentier classification divides mitral valve regurgitation into three types based on leaflet motion 1:
type I: normal leaflet motion
annular dilation, leaflet perforation
regurgitation jet directed centrally
type II: excessive leaflet motion
papillary muscle rupture, chordal rupture, ...
Article
Left ventricular ejection fraction (echocardiography)
Left ventricular ejection fraction (LVEF) is a surrogate for left ventricular global systolic function, defined as the left ventricular stroke volume divided by the end-diastolic volume.
Terminology
Point-of-care echocardiography protocols typically use a semi-quantitative approach in defining...
Article
Left ventricular mass index
Left ventricular mass index (LVMI) is a parameter used in echocardiography and cardiac MRI.
LVMI is calculated using the following equations:
LVMI = LVM (left ventricular mass)/body surface area
left ventricular mass = 0.8{1.04[([LVEDD + IVSd +PWd]3 - LVEDD3)]} + 0.6
where
LVEDD = LV end-...
Article
Peter Kerley
Sir Peter “PK” Kerley (1900-1979) was a globally-renowned cardiothoracic radiologist who is primarily remembered now for his Kerley lines but in his lifetime was famed for his uncanny imaging diagnostic abilities, co-editing the famous 'A Text-book of X-Ray Diagnosis by British Authors', and co-...
Article
Point-of-care ultrasound (curriculum)
The point-of-care ultrasound (PoCUS) curriculum is one of our curriculum articles and aims to be a collection of articles that represent the core applications of ultrasonography in a point-of-care setting.
Point-of-care ultrasound refers to ultrasonography which may be simultaneously performed,...
Article
Focus‐assessed transthoracic echocardiography
FATE (focus‐assessed transthoracic echocardiography) is a goal-directed protocol used in critical care for indications such as hemodynamic instability, shock, and pulseless electrical activity (PEA) arrest 1.
The protocol is designed as a series of questions as follows:
does the left ventri...
Article
Aortic pseudoaneurysm vs ductus diverticulum
Differentiation of aortic pseudoaneurysm from ductus diverticulum is critical, particularly in the trauma setting. A traumatic aortic pseudoaneurysm is a surgical emergency whereas a ductus diverticulum is a normal anatomic variant.
The following are differentiating features:
Aortic pseudoaneu...
Article
ACC/AHA classification of coronary lesions
ACC/AHA classification of coronary lesions is a system used to classify coronary arterial calcific plaque burden. It is classified as
type A
discrete (<10 mm)
concentric
nonangulated segment <45º
smooth contour
little or no calcification
less than totally occlusive
not ostial in locatio...
Article
Labeled imaging anatomy cases
This article lists a series of labeled imaging anatomy cases by body region and modality.
Brain
CT head: non-contrast axial
CT head: non-contrast coronal
CT head: non-contrast sagittal
CT head: non-contrast axial with clinical questions
CT head: angiogram axial
CT head: angiogram coronal
...
Article
Hypoplastic right heart syndrome
Hypoplastic right heart syndrome is a congenital cardiac anomaly. It is characterized by an underdeveloped right side of the heart, including the right ventricle, tricuspid valve, pulmonary valve, and pulmonary arteries.
Epidemiology
It may be present in around 1.1% of stillbirths and is rarer...
Article
Pericardial diverticulum
Pericardial diverticula are focal outpouching arising from the pericardium. They are differentiated from congenital pericardial cysts by the presence of direct communication with the pericardial cavity. They can change in size related to body position, with symptoms related to the change in posi...
Article
Atrial septal occlusion device
Atrial septal occlusion devices are implantable cardiac devices used in patients with certain types of atrial septal defects.
They are used in cases of atrial septal defects with right atrial or ventricle enlargement, to prevent paradoxical embolism, left-to-right shunting and platypnea-orthode...
Article
Cardiac restraint device
Cardiac restraint devices are implantable cardiac devices which aim to reduce ventricular wall stress, improve systolic function and reduce cardiac remodeling.
Cardiac restraint devices act to support the ventricular wall with an elastic mesh network which offers passive pressure to support the...
Article
Temporary ventricular assist devices
Temporary ventricular assist devices (or temporary VADs) are temporary percutaneous devices used in supporting a failing heart in cardiogenic shock or perioperatively.
Principle
Temporary VADs consist of an inlet, outlet and impeller pump all housed within a catheter. Temporary VADs are insert...
Article
Kounis syndrome
Kounis syndrome, also known as allergic acute coronary syndrome, refers to an acute coronary syndrome accompanying mast cell activation from allergic, hypersensitivity, or anaphylactoid reactions 5.
Pathology
It is represented by a vasospastic acute coronary syndrome with or without the presen...
Article
Metabolic syndrome
The metabolic syndrome, also known as syndrome X, is a set of five conditions, which together increase a patient's risk of developing cardiovascular disease 1.
Clinical presentation
There are five central components of metabolic syndrome:
hyperinsulinemia
impaired glucose tolerance
dyslipid...
Article
Overall visual assessment of coronary artery calcification
Overall visual assessment of coronary artery calcification is a simple scoring system for risk assessment of coronary heart disease mortality by an overall "gestalt" of none, mild, moderate or heavy coronary artery calcification. It is comparable to the Agatston score but has the advantage of be...
Article
Coronary artery calcification
Coronary artery calcification is a common incidental finding in asymptomatic patients having CT of the thorax for non-cardiac indications as well as being a significant finding in cardiac CT. Coronary artery calcification is a marker of atherosclerotic plaque burden and thus coronary artery dise...
Article
Right marginal artery
The right marginal artery, also known as the acute marginal artery or right intermediate atrial branch, supplies the surrounding right atrial tissues 1,2 and, in 10-15% of cases, provides the main arterial supply to the sinus node 3,4.
Gross anatomy
Origin
It arises from the inferior border o...
Article
Postmortem changes - cardiovascular
Cardiovascular postmortem changes refer to the normal appearances of the cardiovascular system on postmortem imaging.
Radiographic features
CT
hyperdensity of the aortic wall 1,2
hypostasis of blood intravascularly 3
dilatation of the right atrium of the heart 1
dilatation of the superior...
Article
Left circumflex arising from right coronary sinus
Left circumflex (LCx) arising from right coronary sinus (RCA) is a coronary arterial variant.
Epidemiology
It is considered the most common coronary anomaly with prevalence range of around 0.37-1.3 % of all patients.
Subtypes
According to some publications, anomalous LCx is divided into 3 ty...
Article
Left ventricular false tendon
Left ventricular false tendons, also known as left ventricular muscular bands, are fibromuscular structures that arise from the inner trabeculated myocardial layer of the left ventricle. They may have different lengths and thicknesses.
Epidemiology
The incidence of false tendons ranges from 18...
Article
Aortic root abscess
An aortic root abscess is a serious complication of infective endocarditis and most commonly seen in patients who have had aortic root repair and/or aortic valve replacement.
Epidemiology
Aortic root abscess occurs as a complication of infective endocarditis in 10-37% 9. Abscess formation in p...
Article
Danon disease
Danon disease is an X-linked dominant cause of debilitating cardioskeletal myopathy and is a lysosomal storage disorder.
Epidemiology
Although considered rare, the exact incidence is unknown 1.
Clinical presentation
Danon disease is characterized by the triad of 1-4:
cardiomyopathy
the mos...
Article
Shepherd's crook right coronary artery
A shepherd’s crook right coronary artery is variant in the terms of the course of the right coronary artery. While the RCA origin is normal it is characterized by a tortuous and high course, usually just after its origin from the aorta. Its prevalence is estimated at approximately 5%. While ofte...
Article
Pulmonary hypertension (2013 classification)
In 2013, the 5th World Symposium on pulmonary hypertension took place in Nice, France and modified the classification system for pulmonary hypertension.
The modified system divides pulmonary hypertension into five groups:
group 1: pulmonary arterial hypertension (disorders of the pulmonary ar...
Article
Aorto-ventricular tunnel
Aorto-ventricular tunnel (AVT) is an extremely rare form of congenital heart disease, representing an anomalous extracardiac communication between the ascending aorta and the left or right ventricles.
Terminology
In most cases the anomalous communication is between the aorta and the left ventr...
Article
Cockade sign (disambiguation)
There are several described cockade signs in radiology:
cockade sign (aorto-left ventricular tunnel) 1
cockade sign (appendicitis) 2
cockade sign (GI tumors) 4
cockade sign (hypertrophic pyloric stenosis) 3
cockade sign (intraosseous lipoma)
History and etymology
It is named after a cocka...
Article
Body imaging
Body imaging is the term assigned to cross-sectional imaging of the body, which radiologically refers to the chest, abdomen and pelvis. It is often used by radiologists who report this region (sometimes known as body imagers/radiologists) to differentiate their primary area of interest from othe...
Article
Coronary artery dissection
Coronary artery dissection is a rare cause of acute coronary syndrome especially in young patients who are otherwise healthy.
A spontaneous coronary artery dissection (SCAD) is defined as a non-iatrogenic dissection of an epicardial coronary artery not associated with atherosclerosis or trauma....
Article
Anorexia nervosa
Anorexia nervosa is a psychiatric disorder characterized by distorted self-perception of body weight leading to starvation, obsession with remaining underweight, and an excessive fear of gaining weight. One in five patients with anorexia dies due to complications of the disease.
Epidemiology
T...
Article
Wellens syndrome
Wellens syndrome (also referred to as LAD coronary T-wave syndrome) refers to an ECG pattern specific for critical stenosis of the proximal left anterior descending (LAD artery +/- resultant myocardial infarction in this territory.
The anomalies described occur in patients with recent anginal...
Article
Libman-Sacks endocarditis
Libman-Sacks endocarditis (LSE), also known as verrucous endocarditis, is a form of non-bacterial thrombotic endocarditis characterized by large thrombi vegetations over the endocardial surface. It was considered the predominant form of endocarditis in systemic lupus erythematosus (SLE) until tr...
Article
Posterior left ventricular artery
The posterior left ventricular (PLV) artery, also known as the posterolateral artery or branch (PLA or PLB), is a terminal branch of the coronary arterial system supplying the inferior portion of the heart. It usually arises from the right coronary artery in the typically right-dominant circulat...
Article
Cardiorenal syndrome
Cardiorenal syndrome is the association between cardiac failure and renal failure.
Pathology
Cardiorenal syndrome can manifest as a new onset of renal failure, or the aggravation of chronic renal failure within the ambit of an acute or chronic heart failure exacerbation. Sometimes it can occu...
Article
Septal branches of the left anterior descending artery
The septal branches of the left anterior descending artery supply blood flow to the interventricular septum of the heart.
Origin
These are right-sided branches (on axial CTCA) from the left anterior descending artery.
Supply
They provide the main blood supply to the anterior interventricular...
Article
Valvular heart disease
Valvular heart diseases, or cardiac valvulopathies, describe any acquired or congenital disease affecting one or more of the four cardiac valves.
This is a general index article that classifies cardiac valvulopathies depending on which valve(s) is affected 1. See individual articles for in-dept...
Article
Pulmonary valve regurgitation
Pulmonary valve regurgitation, also known as pulmonary valve insufficiency or pulmonary valve incompetence, is a valvulopathy that describes leaking of the pulmonary valve diastole that causes blood to flow in the reverse direction from the pulmonary trunk and into the right ventricle.
Epidemio...
Article
Pulmonary valve stenosis
Pulmonary valve stenosis, or pulmonic valve stenosis, is a valvulopathy that describes the narrowing of the opening of the pulmonary valve between the pulmonary trunk and the right ventricle.
Epidemiology
Pulmonary stenosis is nearly always (95%) congenital, and therefore primarily affects the...
Article
Radiation-induced heart disease
Radiation-induced heart disease, also known as radiation cardiotoxicity, describes an uncommon constellation of potential cardiac complications of thoracic radiotherapy.
Epidemiology
The demographics of patients affected by radiation-induced heart disease are those of the underlying condition ...
Article
Leadless cardiac pacemaker
Leadless cardiac pacemakers are a recently introduced type of cardiac conduction device. These pacemakers are self-contained right ventricular single-chamber pacemakers that are implanted percutaneously via a femoral approach 1-3. There are currently two leadless cardiac pacemakers on the market...
Article
Aortic valve regurgitation
Aortic valve regurgitation, also known as aortic valve insufficiency or aortic valve incompetence, is a valvulopathy that describes leaking of the aortic valve during diastole that causes blood to flow in the reverse direction from the aorta and into the left ventricle.
Epidemiology
Aortic reg...
Article
Gerbode defect
The Gerbode defect describes a rare abnormal left-to-right shunt between the left ventricle and right atrium through a defect in the atrioventricular septum, usually congenital in etiology.
Epidemiology
Gerbode defects are rare congenital cardiac anomalies, and are thought to account for less ...
Article
Left ventricular outflow tract
The left ventricular outflow tract (LVOT) (also sometimes called the aortic vestibule) is considered to represent the region of the left ventricle that lies between the anterior cusp of the mitral valve and the ventricular septum. Its dimensions are often recorded in TAVI work up studies.
Rela...
Article
Coronary ostial dimple
A coronary ostial dimple is a type of congenital coronary artery anomaly where there is a rudiment of the coronary ostium usually followed more distally by proximal coronary stem atresia.
Article
Endomyocardial fibrosis
Endomyocardial fibrosis (EMF) is an idiopathic disorder characterized by the development of restrictive cardiomyopathy.
Epidemiology
It usually occurs in tropical and subtropical regions of the world. There may be a greater predilection in children and adolescents.
Pathology
The pathogenesi...
Article
Coronary Artery Disease - Reporting and Data System
The Coronary Artery Disease - Reporting and Data System (CAD-RADS) is a standardized method for reporting and communicating coronary CT angiography findings and serves as a clinical decision support tool to guide subsequent patient management.
History and etymology
The system was created by a ...
Article
Lambl’s excrescence
Lambl’s excrescences, also known as valvular strands, are small, filiform, fibrous strands located on cardiac valves.
Epidemiology
Thought to be present in 70-80% of adults according to pathological studies, but only ~40% on echocardiograph studies 1. When present, multiple Lambl’s excrescence...
Article
Myocardial crypts
Myocardial crypts (or myocardial clefts or fissures) refer to discrete clefts or fissures in otherwise compacted myocardium of the left ventricle. They are thought to represent a distinctive morphological expression of hypertrophic cardiomyopathy, occurring with different frequency in these pati...
Article
Apical hypertrophic cardiomyopathy
Apical hypertrophic cardiomyopathy (AHCM or ApHCM), also known as Yamaguchi syndrome, is a rare form of hypertrophic cardiomyopathy which usually involves the apex of the left ventricle, rarely involves the right ventricular apex, or involves both apices.
Epidemiology
Historically, this condit...
Article
Chronic thromboembolic pulmonary hypertension
Chronic thromboembolic pulmonary hypertension (CTEPH) is a distinct subgroup of pulmonary hypertension that most frequently develops following massive or repeated pulmonary embolism.
Terminology
The term CTEPH should be used for patients with chronic thromboembolic disease and pulmonary hypert...
Article
Obtuse marginal artery
The obtuse marginal (OM) arteries, sometimes referred to as lateral branches, are branch coronary arteries that come off the circumflex artery. There can be one or more obtuse marginal arteries. It typically traverses along the left margin of heart towards the apex. The first obtuse marginal art...
Article
COL4A1-related disorders
COL4A1-related disorders are a group of autosomal dominant disorders caused by a mutation in the COL4A1 gene.
Epidemiology
The exact prevalence is unknown, but the group of disorders is considered to be under-recognized, especially asymptomatic variants 1.
Clinical presentation
The clinical ...
Article
RASopathy
RASopathies are a class of developmental disorders caused by germline mutations in genes that encode for components or regulators of the Ras/mitogen-activated protein kinase (MAPK) pathway.
Epidemiology
As a group, RASopathies represent one of the most common malformation syndromes, with an in...
Article
Coronary arteriovenous fistula
Coronary arteriovenous fistulas (CAVFs) are rare coronary artery anomalies whereby there is a fistula between a coronary artery and, most commonly, the right side of the cardiac circulation.
Terminology
Although a CAVF, in the strictest sense of the term, implies a communication between the c...
Article
Right ventricular dysfunction
Right ventricular dysfunction usually results from either pressure overload, volume overload, or a combination.
It occurs in a number of clinical scenarios, including:
pressure overload
cardiomyopathies: ischemic, congenital
valvular heart disease
arrhythmias
sepsis
It can manifest as ...
Article
Ritscher-Schinzel syndrome
Ritscher-Schinzel syndrome (RTSC), also known as 3C (cranio-cerebello-cardiac) syndrome, is a rare entity with a variable spectrum of CNS (primarily cerebellar), craniofacial, and congenital heart defects.
Clinical presentation
craniofacial
cleft palate
ocular coloboma
prominent occiput
lo...
Article
Duchenne muscular dystrophy
Duchenne muscular dystrophy (DMD) is a dystrophinopathy and the most common muscular dystrophy.
Epidemiology
DMD has an incidence of 1 in 3500 to 5000 males 1,2. The condition is extremely rare in females due to its inheritance pattern, as discussed below 1.
Clinical presentation
The charact...
Article
Surgical hemostatic material
Surgical hemostatic material is used to control bleeding intraoperatively and is hence frequently intentionally left in the operative bed, not to be confused with a gossypiboma which is caused by foreign material left behind in error. Its use has increased with the advent of minimally invasive s...
Article
Syphilis
Syphilis is the result of infection with the gram-negative spirochete Treponema pallidum, subspecies pallidum. It results in a heterogeneous spectrum of disease with many systems that can potentially be involved, which are discussed separately.
Epidemiology
Despite the discovery of penicillin...
Article
Left pulmonary venous recess
The left pulmonary venous recess is one of the pericardial recesses forming a small space within the pericardium. It arises from the pericardial cavity proper located between the left superior and inferior pulmonary veins, posterior to the left atrium. It invaginates towards the oblique pericard...
Article
Right pulmonary venous recess
The right pulmonary venous recess is one of the pericardial recesses forming a small space within the pericardium. It arises from the pericardial cavity proper located between the right superior and inferior pulmonary veins, posterior to the left atrium. It invaginates towards the oblique perica...
Article
Inferior aortic recess
The inferior aortic recess is one of the pericardial recesses forming a small space within the pericardium, which arises from the transverse pericardial sinus between the ascending aorta and the left atrium. It extends inferiorly to the level of the aortic valve. It may mimic mediastinal lymphad...
Article
Dysphagia megalatriensis
Dysphagia megalatriensis, also known as cardiovascular dysphagia or cardiac dysphagia, is an impairment of swallowing due to esophageal compression from a dilated left atrium.
Clinical presentation
Presentation is generally with mild dysphagia, although a minority of patients will have dyspha...
Article
Anterior cardiac veins
The anterior cardiac veins are a group of parallel coronary veins that course over the anterior surface of the right ventricle, draining it and entering directly into the right atrium. They may occasionally drain into the small cardiac vein.
Article
Venae cordis minimae
The venae cordis minimae (singular: vena cordis minima), meaning "smallest cardiac veins", also known as Thebesian veins (variably capitalized in the literature) are a small group of valveless myocardial coronary veins within the walls of each of the four cardiac chambers that drain venous blood...
Article
Posterior vein of the left ventricle
The posterior vein of the left ventricle is a vein of the heart which courses over the inferior wall of the left ventricle and drains into the coronary sinus to the left of where the middle cardiac vein drains into the sinus. It drains, not unsurprisingly, the inferior wall of the left ventricle.
Article
Vein of Marshall
The vein of Marshall, oblique vein of Marshall or the oblique vein of the left atrium is a small vein that descends on and drains the posterior wall of the left atrium. It drains directly into the coronary sinus at the same end as the great cardiac vein, marking the origin of the sinus.
It repr...
Article
Small cardiac vein
The small cardiac vein is a vein of the heart which accompanies the acute marginal artery from the RCA. It courses in the right posterior atrioventricular groove and drains into the coronary sinus close to its termination but may drain directly into the right atrium. It drains the right ventricl...
Article
Middle cardiac vein
The middle cardiac vein or posterior interventricular vein is a vein of the heart which accompanies the posterior interventricular artery. It courses in the posterior interventricular groove and drains directly into the coronary sinus close to it’s termination. It drains the posterior wall of bo...
Article
Pericardial ligaments
The pericardial ligaments is a name given to a group of variable fibrous ligaments or adhesions that connect the pericardium to adjacent structures. These ‘ligaments’ tether the fibrous pericardium to its surrounds, hence movements of the chest wall and diaphragm influence the position of the he...
Article
Pericardial recesses
The pericardial recesses are small spaces in the pericardial cavity formed by reflections of the pericardium.
Gross anatomy
Pericardial fluid can pool in these recesses and can be categorized by whether they arise from the transverse sinus, the oblique sinus, or the pericardial cavity proper 3...
Article
Transverse pericardial sinus
The transverse pericardial sinus is the transverse communication between the left and right parts of the pericardial space proper behind the two outflow arteries of the heart.
Gross anatomy
It is superior to the left atrium and posterior to the intrapericardial parts of the pulmonary trunk a...
Article
Oblique pericardial sinus
The oblique pericardial sinus is a blind-ending pericardial cul-de-sac behind the heart which opens into the pericardial space proper inferiorly.
Gross anatomy
The oblique sinus forms the posterior pericardial recess 5.
Boundaries
right (in ascending order): inferior vena cava, right inferio...
Article
Triple-rule-out CT
Triple-rule-out CT (TRO CT) angiography may be ordered in the setting of acute chest pain to examine the thoracic aorta and the coronary and pulmonary arteries. The protocol helps exclude life-threatening causes of acute chest pain, especially if atypical, or if alternative causes to acute coron...
Article
Wells criteria for pulmonary embolism
The Wells criteria for pulmonary embolism is a risk stratification score and clinical decision rule to estimate the probability for acute pulmonary embolism (PE) in patients in which history and examination suggests acute PE is a diagnostic possibility. It provides a pre-test probability which, ...
Article
Sinoatrial nodal artery
The sinoatrial (SA) nodal artery is the small artery that supplies the sinoatrial (SA) node of the heart (the pacemaker).
Gross anatomy
Origin
Right coronary artery in 60% of cases and the left coronary artery in 40% of cases.
Course
The artery turns posteriorly below the superior vena cav...
Article
Left atrial appendage closure devices
Left atrial appendage (LAA) closure devices are implantable cardiac devices which are placed in the left atrial appendage for stroke prevention in patients with atrial fibrillation who have contraindications to pharmacological anticoagulation. Depending on the device they may be inserted percuta...
Article
Biventricular cardiac pacemaker
Biventricular cardiac pacemakers are surgically implanted cardiac conduction devices with one lead in each ventricle (and often one in the right atrium) used for cardiac resynchronization therapy.
Components
lead in the right atrium
lead in the right ventricle
lead in the coronary sinus t...
Article
Congenitally corrected transposition of the great arteries
Congenitally corrected transposition of the great arteries, also known as levo- or L-loop transposition (L-TGA), is a rare cardiovascular anomaly with inversion of the ventricles and great arteries. See the main article on transposition of the great arteries for discussion of the D-loop subtype....
Article
Double switch procedure
The double switch procedure is a surgical technique used to repair congenitally corrected transposition of the great arteries (L-TGA), which is a cardiovascular anomaly with atrioventricular and ventriculoarterial discordance.
The procedure consists of any of the following surgical combinations...
Article
Mediastinum (ITMIG classification)
The International Thymic Malignancy Interest Group (ITMIG) classification of mediastinal compartments was developed to reflect a division of the mediastinum based on cross-sectional imaging. It was in part an effort to consolidate prior discrepant classification systems in use by different medic...
Article
Pulmonary artery banding
Pulmonary artery banding is a palliative surgical procedure used to decrease excessive pulmonary blood flow. It is usually used for neonates and infants with left-to-right shunts unable to withstand complete surgical correction.
Some indications include:
single ventricle
multiple ventricula...