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.

543 results found
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Enlarged pulmonary trunk on chest radiography (differential)

The differential of an enlarged pulmonary trunk/main pulmonary artery on chest radiography includes:  normal may appear prominent in young patients especially women projectional rotation lordotic view rotation of the heart pectus excavatum left lower lobe collapse pulmonary arterial hyp...
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Eosinophilic endocarditis

Eosinophilic endocarditis, also known as Loeffler endocarditis, is one of the cardiac manifestations of idiopathic hypereosinophilic syndrome. It also considered a form of cardiomyopathy. Epidemiology There is limited information on the incidence of eosinophilic endocarditis. the majority of ...
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Epicardial lipomatosis

Epicardial lipomatosis or epicaridal lipomatous hypertrophy is a form of cardiac lipomatosis and is characterized by accumulation of non-encapsulated mature adipose tissue in the epicardial space due to hyperplasia of lipocytes. Its exact etiology is not well known, but it may be associated with...
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Epicardial pacing wires

Epicardial pacing wires allow rapid commencement of atrial and/or ventricular pacing in the event of a perioperative cardiac arrhythmia that has the potential to cause significant hemodynamic compromise. They are usually inserted during open heart surgery, and especially in those with congenita...
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Eustachian valve

The eustachian valve (also known as the "valve of the inferior vena cava") is a ridge of variable thickness in the inferior right atrium. It is a remnant of a fetal structure that directed incoming oxygenated blood to the foramen ovale and away from the right atrium.   Incomplete regression of ...
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Extracorporeal membrane oxygenation

Extracorporeal membrane oxygenation (ECMO) is used as a modified pulmonary or cardiopulmonary bypass technique in those with severe cardiac and/or respiratory failure refractory to conventional ventilatory support and medical intervention 1,3. There are two access paths for extracorporeal life s...
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Fallen contrast sign

The fallen contrast sign refers to a trace of concentrated contrast material layering along the dependent left atrial wall during contrast-enhanced cardiac CT, suggestive of a right-to-left shunt. The finding has primarily been described as an indirect sign in sinus venosus atrial septal defect ...
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Fat containing cardiac lesions

Fat containing cardiac lesions have a limited differential diagnosis. These include 1-4: normal aging/physiologic: mostly subepicardial, more in the right ventricle (especially right ventricular outflow tract) than left ventricle lipomatous hypertrophy of the interatrial septum chronic myocar...
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Fetal atrial fibrillation

Fetal atrial fibrillation is a type of fetal tachyarrhythmia and usually has an atrial rate of 400 beats per minute and a completely irregular ventricular rhythm.  Radiographic features Antenatal ultrasound - echocardiography The atrial contractions are usually too faint to be detected by M M...
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Fetal atrial flutter

Fetal atrial flutter is the second most common fetal tachyarrhythmia and can account for up to 30% of such cases 1,2.  Clinical presentation As with other tachyarrhythmias, it is often detected in the 3rd trimester. Pathology It has a typical atrial rate of 300-600 beats per minute (bpm) and...
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Fetal bradyarrhythmia

Fetal bradyarrhythmia refers to an abnormally low fetal heart rate (less than 100-110 beats per minute 3,7) as well as being irregular, i.e. irregular fetal bradycardia. Pathology A fetal bradyarrhythmia can fall into several types which include fetal partial atrioventricular block (PAVB) fe...
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Fetal bradycardia

Fetal bradycardia refers to an abnormally low fetal heart rate, a potentially ominous finding. A sustained first trimester heart rate below 100 beats per minute (bpm) is generally considered bradycardic. The average fetal heart rate changes during pregnancy, however, and some consider the lower ...
Article

Fetal cardiac tumors

Fetal cardiac tumors refer to primary cardiac tumors that can present in the in utero population.  Epidemiology Fetal cardiac tumors are rare; the prevalence, reported from autopsy studies of patients of all ages, varies from 0.0017-0.28 % 2. Pathology Known cardiac tumor types that present ...
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Fetal cardiomegaly

Fetal cardiomegaly (FC) refers to an enlarged fetal heart. It is variably defined with some sources stating the cut-off as a fetal cardio-thoracic circumference above two standard deviations 7.  Pathology It can arise from a number of situations: congenital cardiac anomalies: particularly tr...
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Fetal cardiomyopathy

Fetal cardiomyopathy refers to a very rare situation where a cardiomyopathy occurs in utero. It is often a diagnosis of exclusion where, by definition, there is an absence of an underlying congenital cardiac morphological anomaly. Epidemiology The estimated incidence is variable with the high ...
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Fetal cardiothoracic circumference ratio

Fetal cardiothoracic (C/T) circumference ratio is a parameter than can be used in assessment of fetal cardiac and thoracic/chest wall anomalies. It is the ratio of the cardiac circumference to the thoracic circumference and may be easily measured on fetal ultrasound/echocardiography.  Radiograp...
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Fetal complete atrioventricular block

Fetal congenital complete heart block (CAVB) is a rare cardiac conduction abnormality that is associated with high morbidity and mortality. It is considered the commonest of fetal bradyarrhymias. Epidemiology The estimated prevalence of complete heart block in newborns is at ~1 in 20,000. Pat...
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Fetal echocardiography views

A standard fetal echocardiogram consists of several specific views which can be obtained to optimize visualization of different structures and anomalies. They include: Basic views abdominal situs view / transverse view of abdomen four chamber view left ventricular outflow tract view (or a fi...
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Fetal pericardial effusion

Fetal pericardial effusions (FPE) occur when there is an accumulation of pericardial fluid in utero. In order to be considered as abnormal, it is generally accepted that the pericardial fluid thickness should be greater than 2 mm. Epidemiology The estimated incidence is at ~ 2% of pregnancies ...
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Fetal pericardial teratoma

Fetal pericardial teratomas are rare pericardial teratomas that present in utero. They are an uncommon primary cardiac tumor occurring in a fetus. Pathology It is a type of germ cell tumor and arises from pluripotent cells derived from all three germinal layers. In contrast to ovarian teratoma...
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Fetal premature atrial contractions

Fetal premature atrial contractions are a type of extrasystoles that can be occasionally detected in fetal heart monitoring. They along with fetal premature ventricular contractions (PVC's) account for the majority of in utero rhythm disturbances. Terminology Premature atrial contractions may ...
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Fetal premature ventricular contractions

Fetal premature ventricular contractions (FPVC) are a type ectopic ventricular contractions detected in utero. They are a type of extrasystoles. Premature ventricular contractions are often followed by a compensatory pause due to the refractory state of the conduction system; the next conducted...
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Fetal right ventricular enlargement

Fetal right ventricular (RV) enlargement is an infrequently encountered situation in antenatal imaging. Pathology The right ventricle is the dominant ventricle during in utero development. Right ventricular enlargement can occur with a number of cardiac as well as non-cardiac anomalies. cardi...
Article

Fetal sinus bradycardia

Fetal sinus bradycardia is a subtype of fetal bradycardia where the fetal heart rate is abnormally slow (<100 bpm) but runs at the regular rate with sinus rhythm. Pathology Associations congenital long QT syndrome 1 maternal anti Ro antibodies 2-3
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Fetal supraventricular tachycardia

Fetal supraventricular tachycardia (SVT) is considered the most common type of fetal tachyarrhythmia and can account for 60-90% of such cases. Pathology It has a typical ventricular rate of 230-280 beats per minute (bpm) 1 and isoften associated with an accessory AV conduction pathway. There i...
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Fetal tachyarrhythmia

Fetal tachyarrhythmia refers to an irregular increase in fetal heart rate.  Epidemiology Depending on its exact definition, the prevalance rate is thought to be around 0.5-1% of pregnancies.  Clinical presentation Many cases tend to be discovered in the 3rd trimester.  Pathology Sub types ...
Article

Fetal tachycardia

Fetal tachycardia is an abnormal increase in the fetal heart rate. It is variably defined as a heart rate above 160-180 beats per minute (bpm) and typically ranges between 170-220 bpm (higher rates can occur with tachyarrhythmias). Epidemiology The estimated prevalence is ~0.4-1% of pregnancie...
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Fetal tricuspid regurgitation

Tricuspid regurgitation (TR) (also known as tricuspid insufficiency) is a common finding in imaging of the fetus. Tricuspid regurgitation represents the abnormal backflow of blood into the right atrium during right ventricular contraction due to valvular leakage (i.e. it is a valvulopathy).  Ep...
Article

Fetal ventricular tachycardia

A rare entity, fetal ventricular tachycardia presents with a rapid ventricular rate exceeding, and occurring independently from, the atrial rate.  The ventricular rate is typically over 180 beats per minute 1. Atrioventricular dissociation is characteristic; two separate pacemakers dictate the a...
Article

Fibromuscular dysplasia

Fibromuscular dysplasia (FMD) is a heterogeneous group of vascular lesions characterized by an idiopathic, non-inflammatory, and non-atherosclerotic angiopathy of small and medium-sized arteries. Epidemiology The prevalence is unknown 7. It is most common in young women with a female to male r...
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Figure of eight appearance

The following lesions may resemble a figure of eight (sometimes referred to as snowman shaped): supracardiac variety of total anomalous pulmonary venous return 1 pituitary macroadenoma with suprasellar extension 2 intraspinal neurofibroma with extraspinal extension through neural foramina di...
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Finger clubbing

Finger clubbing, also called "drumstick fingers", is a common clinical sign in patients with heart or lung disease. The term is used to describe an enlargement of the distal phalanges of the fingers, giving them a drumstick or club-like appearance.  Clinical Presentation Finger clubbing presen...
Article

Five Ts of cyanotic congenital heart disease (mnemonic)

A mnemonic to remember the most important congenital heart defects associated with cyanosis is: five Ts Mnemonic T: tetralogy of Fallot (TOF) T: transposition of the great arteries (TGA) T: truncus arteriosus T: total anomalous pulmonary venous return (TAPVR) T: tricuspid valve abnormalit...
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 ventricle...
Article

Fontan procedure

The Fontan procedure is a repair surgical strategy for congenital cardiac anomalies. It is not usually used in isolation, but in combination with other repair procedures in a staged manner in an attempt to correct the underlying cardiac pathology. Rationale The procedure attempts to bypass the...
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Foramen ovale (cardiac)

The foramen ovale (or ovalis) is the opening in the interatrial septum in the fetal heart that allows blood to bypass the right ventricle and non-ventilated lungs, shunted from the right atrium to the left atrium. Specifically it represents the opening between the upper and lower portions of the...
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Fossa ovale

The fossa ovale (or ovalis) is the small oval depression in the interatrial septum at the site of the closed foramen ovale, which closes once fetal circulation ceases in the first few minutes of postnatal life. It represents the overlapping primary and secondary septa of the interatrial septum. ...
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Four chamber cardiac view (fetal)

The four chamber cardiac view is an important and routinely performed view in both fetal echocardiography as well as on a standard second trimester anatomy scan. Detectable pathology The four chamber view can only detect some of the congenital cardiac anomalies (~64% according to one study 2) ...
Article

Fractional flow reserve

Fractional flow reserve (FFR) is a technique to evaluate the hemodynamic relevance of coronary artery stenoses 1,2,. It is defined as "the ratio of maximal flow achievable in the stenotic coronary artery to the maximal flow achievable in the same coronary artery if it was normal" 1 . FFR has be...
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

Glenn shunt

The Glenn shunt, also known as Glenn procedure, is a palliative surgical procedure for a variety of cyanotic congenital heart diseases. Rationale In this procedure, the systemic venous return is re-directed to the pulmonary circulation, bypassing the right heart 1-3. It can be used in a varie...
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 disorder characterized by abnormal glycogen accumulation within lysosomes. It is a multisystem disorder involving the heart, skeletal muscle and liver. It is caused by a de...
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Great cardiac vein

The great cardiac vein (GCV) runs in the anterior interventricular groove and drains the anterior aspect of the heart where it is the venous complement of the left anterior descending artery. It is the main tributary of the coronary sinus.  Gross anatomy It begins on the anterior surface of th...
Article

Great vessels

The great vessels is the collective term given to the major arteries and veins that convey blood to and away from the heart: aorta pulmonary artery pulmonary veins superior vena cava inferior vena cava The branches and tributaries of these named vessels are not great vessels, e.g. brachioc...
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Hemochromatosis (cardiac manifestations)

Cardiac involvement in hemochromatosis typically occurs with primary hemochromatosis, as the organ is usually spared in the secondary form of the disease. For a general discussion, and for links to other system specific manifestations, please refer to the article on hemochromatosis.  Epidemiol...
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Hemopericardium

Hemopericardium refers to the presence of blood within the pericardial cavity, i.e. a sanguineous pericardial effusion. If enough blood enters the pericardial cavity, then a potentially fatal cardiac tamponade can occur.  Pathology Etiology There is a very long list of causes 1,4 but some of ...
Article

Heart

The heart is a hollow, muscular organ of the middle mediastinum, designed to pump oxygenated blood around the systemic circulation and de-oxygenated blood around the pulmonary circulation. Gross anatomy The heart has a somewhat conical form and is enclosed by pericardium. It is positioned post...
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Heart chambers

There are four heart chambers, the right atrium, left atrium, right ventricle and left ventricle. These receive blood from the body and lungs and contract to transmit blood to the lungs for oxygenation and to the body for use in metabolism. It is best to list the four chambers in order of the s...
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Heart failure (summary)

This is a basic article for medical students and other non-radiologists Heart failure is a syndrome of cardiac ventricular dysfunction, where the heart is unable to pump sufficiently to meet the body's blood flow requirements. Clinical presentation Although it is useful to divide the signs an...
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Heyde syndrome

Heyde syndrome is an association between aortic valve stenosis and gastrointestinal hemorrhage. The etiology of the gastrointestinal bleeding in this setting is uncertain, but it is thought to be related to intestinal angiodysplasia. The strength of this association independent of age-related d...
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Hibernating myocardium

Hibernating myocardium is myocardial tissue that has reduced contractility due to poor perfusion, but remains viable. It is important as hibernating myocardium can recover normal contractility with revascularization.  Pathology Hibernating myocardium is most commonly seen in the setting of chr...
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High-output cardiac failure

High output cardiac failure refers to a state of cardiac failure that is associated with a higher than normal cardiac output which is still not sufficient for body tissue demands. Clinical presentation Patients can present with a number of symptoms of varying degrees which include tachycardia,...
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HIV/AIDS (cardiovascular manifestations)

Cardiovascular manifestations are seen with increased frequency in the HIV/AIDS adult population, and include: pericardial effusions dilated cardiomyopathy (prevalence 8-30%) endocarditis: either infective or non-bacterial thrombotic (marantic) which is associated with malignancy or HIV wasti...
Article

Hypertension

Hypertension refers to an increase in blood pressure above the 'normal' for the age, sex and ethnicity of the patient. This can be specified according to the vascular system involved. Although generally when it is not specified it is assumed to refer to the systemic type. systemic hypertension ...
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Hypertrophic cardiomyopathy

Hypertrophic cardiomyopathy (HCM) is a type of cardiomyopathy and is the leading cause of sudden death (from arrhythmias) in infants, teenagers and young adults. Terminology Although hypertrophic cardiomyopathy can generally describe a hypertrophied and non-dilated left ventricle due to any ca...
Article

Hypoplastic left heart syndrome

Hypoplastic left heart syndrome (HLHS) is a cyanotic congenital cardiac anomaly where affected individuals can have profound cyanosis and cardiac failure. It is one of the commonest causes for a neonate to present with congestive cardiac failure and the 4th most frequent cardiac anomaly to mani...
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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...
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Idiopathic dilated cardiomyopathy

Idiopathic dilated cardiomyopathy is a subtype of dilated cardiomyopathy. It is a type of non-ischemic cardiomyopathy where no underlying cause can be found. Epidemiology This form of cardiomyopathy may account for up to 50% of all dilated cardiomyopathies 4. Patients usually ranging around 20...
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Idiopathic hypereosinophilic syndrome

Idiopathic hypereosinophilic syndrome (IHES) is a leukoproliferative disorder and refers to a situation when there is an unexplained prolonged eosinophilia with associated organ system dysfunction. The condition can affect several organ systems which includes: heart: cardiac involvement in idio...
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Idiopathic pulmonary arterial hypertension

Idiopathic pulmonary arterial hypertension is uncommon, representing only a tiny fraction of all cases of pulmonary arterial hypertension, which has a very long list of secondary causes (see causes of pulmonary arterial hypertension). Terminology Older terms for this entity include primary pul...
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IgG4-related cardiovascular disease

IgG4-related cardiovascular disease is one of the many manifestations of IgG4-related disease and may present as: aortitis and periaortitis arteritis and periarteritis of small to medium-sized arteries coronary arteritis and periarteritis inflammatory aneurysms pericarditis
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Implantable loop recorder

Implantable loop recorders, also known as insertable cardiac monitors, are small insertable devices that continuously monitor and record cardiac rhythms. They are placed subcutaneously and used for the evaluation of patients with recurrent unexplained episodes of palpitations or syncope. They sh...
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Increased cardiothoracic ratio (summary)

This is a basic article for medical students and other non-radiologists Increased cardiothoracic ratio describes widening of the cardiac silhouette on a chest radiograph. This is only of use when making an assessment of a PA chest x-ray since the AP chest x-ray causes the artefactual magnificat...
Article

Infective endocarditis

Infective endocarditis is defined as infection of the endocardium. It commonly affects the valve leaflets and chordae tendineae, as well as prosthetic valves and implanted devices. Epidemiology Infective endocarditis has an estimated general prevalence of 3 to 9 cases per 100,000. Intravenous ...
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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 lympha...
Article

Inferior cavoatrial junction

The inferior cavoatrial junction (ICAJ) is the term given to the point at which the inferior vena cava (IVC) enters the right atrium. It is less commonly used/seen, in contradistinction to the superior cavoatrial junction.  Accurate localization of the inferior cavoatrial junction is of practic...
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Inferior interventricular artery

The inferior interventricular artery (also known as the posterior interventricular artery or posterior descending artery, PDA) is an artery that extends along the inferior interventricular sulcus. The artery supplies the posterior third of the interventricular septum through posterior septal per...
Article

Inferior mediastinum

The inferior mediastinum is the box-shaped space in the mediastinum below the transthoracic plane of Ludwig between the wedge-shaped superior mediastinum above and the diaphragm and inferior thoracic aperture below. There are no physical structures that divide the superior and inferior mediastin...
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Innervation of the heart

The heart has extrinsic and intrinsic innervation, which allows the heart to continue beating if its nerve supply is disrupted (e.g. in cardiac transplant). The heart receives parasympathetic (from the vagus nerve) and sympathetic innervation from both the superficial and deep cardiac plexuses,...
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Interarterial course of the left coronary artery

An interarterial course of the left coronary artery is defined as origination of the left main or left anterior descending coronary artery from the right coronary sinus of Valsalva, with a course between the ascending aorta and the pulmonary artery trunk.  Terminology An interarterial course i...
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Interarterial course of the right coronary artery

Interarterial course of the right coronary artery, may occur if the right coronary artery (RCA) has an aberrant origin from the left coronary sinus. The interarterial course occurs because the artery passes between the ascending aorta and the pulmonary trunk. It is an uncommon anatomic variant ...
Article

Interatrial septal aneurysm

Interatrial septal aneurysm or atrial septal aneurysm (ASA) is defined as an abnormal protrusion of the interatrial septum. The exact length of the protrusion that defines an interatrial septal aneurysm varies in the literature, ranging from >11 mm to >15 mm beyond normal excursion in adults 4,5...
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Interventricular septal aneurysm

Interventricular septal aneurysm is different from ventricular aneurysm which usually occurs in the cardiac apex. It is defined as a bowing of the interventricular septum of more than 15 mm on either side in adults and 5 mm in children during normal cardiac motion. It may involve either the memb...
Article

Interventricular septum

The interventricular septum divides the right and left ventricles, running in the plane of the anterior and posterior interventicular grooves. Septation of the ventricles occurs in the fetus within 7 weeks of gestation, achieved by the formation of this embryologically heterogenous structure 6. ...
Article

Intra-aortic balloon pump

Intra-aortic balloon pumps (IABP) are used in the intensive care setting to provide hemodynamic assistance to patients in cardiogenic shock. Function and physiology The device is comprised of a catheter introduced via a femoral artery sheath, which extends retrogradely to the proximal descendi...
Article

Intra-atrial course of the right coronary artery

Intra-atrial course of the right coronary artery is an uncommon anatomic variation in the course of the right coronary artery, usually involving the mid and distal segments, where the vessel partially or completely courses through the right atrial chamber. It is the most common intracavitary (in...
Article

Intracardiac thrombi

Intracardiac thrombi are seen in a variety of clinical settings and can result in severe morbidity or even death from embolic events. They can occur following myocardial infarction with ventricular thrombus formation, or with atrial fibrillation and mitral stenosis where atrial thrombi predomina...
Article

Intraventricular

Intraventricular is a term used to denote lesions/processes that occur within either the ventricles of the brain or the ventricles of the heart.  In both cases, most lesions actually arise from the surrounding brain parenchyma/heart muscle and grow exophytically into the ventricles.  See also ...
Article

Iron overload cardiomyopathy

Iron overload cardiomyopathy (IOC) refers to a secondary form of cardiomyopathy resulting from the accumulation of iron in the myocardium. It occurs mainly due to genetically determined disorders of iron metabolism (e.g. cardiomyopathy in hemochromatosis, thalassemia 6,7) or multiple transfusion...
Article

Isomerism

Isomerism is a term which in general means 'mirror-image'. It is used in the context of heterotaxy and is of two types: left isomerism right isomerism Left isomerism Mirror image of the structures on the left side of the chest along the left-right axis of the body, i.e. patients with isomeri...
Article

Isthmus (disambiguation)

Isthmus (plural isthmi) is an anatomical term and refers to a slender structure joining two larger components. Some of these uses of the word isthmus are now rarely used or only seen in older texts and articles: isthmus (aorta) isthmus (auditory tube) isthmus (auricle of the ear) isthmus (ci...
Article

Jaffe-Campanacci syndrome

Jaffe-Campanacci syndrome is characterized by: multiple non-ossifying fibromas of the long bones and jaw café au lait spots intellectual disability kyphoscoliosis hypogonadism or cryptorchidism ocular malformations cardiovascular malformations giant cell granuloma of the jaw History and...
Article

Kawasaki disease

Kawasaki disease (KD) is a small to medium vessel vasculitis predominantly affecting young children. It can affect any organ but there is a predilection for the coronary vessels. Epidemiology Japan has the highest incidence in the world, with an annual incidence of 300/100,000 children under t...
Article

Kawashima procedure

Kawashima procedure is a palliative surgical procedure performed in cases of: left isomerism and azygos continuation of the inferior vena cava single functional ventricle single atrium and common atrioventricular valve with or without regurgitation pulmonary stenosis It is performed by crea...
Article

Keshan disease

Keshan disease is a selenium-deficient condition characterized primarily by a dilated cardiomyopathy, resulting in congestive cardiac failure, cardiomegaly, and, on occasion, fulminant cardiogenic shock. It most commonly presents in young children and menstruating women. Historically it was ori...
Article

Kommerell diverticulum

Kommerell diverticula occur in some anomalies of the aortic arch system. It usually refers to the bulbous configuration of the origin of an aberrant left subclavian artery in the setting of a right-sided aortic arch. However, it was originally described as a diverticular outpouching at the origi...
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. Pathology It is represented by a vasospastic acute coronary syndrome with or without the presence...
Article

Kugel's artery

An uncommon variant of coronary arterial anatomy, Kugel's artery was originally described as an anastomotic communication between branches of the proximal left circumflex artery with the distal right coronary artery. These coronary trunks often communicate indirectly through atrial anastomotic n...
Article

Labeled imaging anatomy cases

This article lists a series of labeled imaging anatomy cases by system and modality. Brain CT head: non-contrast axial CT head: non-contrast coronal CT head: non-contrast sagittal CT head: angiogram axial CT head: angiogram coronal CT head: angiogram sagittal CT head: venogram axial CT ...
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

LCx and LAD arising separately from the left coronary sinus

One of the anatomical variants of coronary artery origin comprises the left circumflex coronary artery (LCx) and left anterior descending coronary artery (LAD) arising separately from the left coronary sinus. Hence there is no common left main coronary artery (LCA/LMCA). As there is no vascular...
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

Left anterior descending artery

The left anterior descending (LAD) artery, also known as the anterior interventricular branch, is one of the two branches of the left coronary artery (the other branch being the circumflex (Cx) artery). Gross anatomy It descends along the interventricular groove. It can be divided into proxim...

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