Clinical cardiac structural anatomy reconstructed within the cardiac contour using multidetector‐row computed tomography: The arrangement and location of the cardiac valves

Abstract

It is essential for the interventional cardiologist to have in-depth anatomical information about the three-dimensional arrangement and location of the cardiac valves relative to the various projections of the cardiac contour as revealed fluoroscopically. Multidetector-row computed tomography is useful for providing information about the three-dimensional arrangements of each structure. This article presents cardiac structural images, focusing on the arrangement and location of the cardiac valves, which were reconstructed with the cardiac contour and surrounding structures using multidetector-row computed tomography. We discuss the clinical implications of the findings. We hope these images will serve as a bridge between cardiology, radiology, and anatomy, and will prompt scientists in the field of cardiology to integrate their accumulated insights into three-dimensional clinical images of the living heart.

Isomerism in the setting of the so-called “heterotaxy”: The usefulness of computed tomographic analysis

“…It reinforces previous findings in the settings of the normal adult heart,[22232425] valvar diseases,[26] and in some structurally abnormal hearts. [272829] The utility of three-dimensional imaging techniques has already been demonstrated in the setting of congenitally cardiac disease, including isomerism.…”

Revisiting the Anatomy of the Living Heart

“…Our own knowledge of cardiac anatomy continues to expand, and has been facilitated by investigations derived by virtual dissection of computed tomographic datasets. 4,14,15, 30 As yet, the value of such investigations has not been fully appreciated. It is continuing multidisciplinary work in this field, such as we have described in our review, that will surely bridge the gap between anatomists, cardiologists, and radiologists, serving to enhance the clinical application of the extensive insights obtained from an understanding of the basic anatomy.…”

Optimal image reconstruction using multidetector‐row computed tomography to facilitate cardiac resynchronization therapy

“…As demonstrated in Figure , it is important to appreciate that the left ventricular short‐axis image is not visualized on the echocardiographic monitor in an attitudinally correct orientation. Papillary muscles are visualized horizontally, despite the fact that they are actually located rather vertically in the body, as revealed in Figure . Because the echocardiographic probe is set on the anterior chest wall, the short‐axis image is routinely visualized with a clockwise rotation on the echocardiographic monitor.…”