Abstract
The logistics and timing of the angiographic injections must be coordinated with the appropriate radiographic technician. Much can be learned from an initial scout film of the heart. Following the scout film, a meticulous injection protocol is recommended for consistency and accuracy in the angiographic analysis. Regarding the sequence of injections, the complexity of interpretation of the postmortem angiogram increases with the number of vessels and/or grafts injected because of overlap of vessels filled with contrast material. In cases of CABG, injection of the native coronary ostia may not be necessary, depending on the amount of information gathered after injection of the grafts. Postmortem injection of the heart should be viewed, if not embraced, as a means of expediting clinical-pathologic correlation in cardiovascular-related deaths.
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References
Elsman P, van ’t Hof AW, Hoorntje JC, de Boer MJ, Borm GF, Suryapranata H, Ottervanger JP, Gosselink AT, Dambrink JH, Zijlstra F. Effect of coronary occlusion site on angiographic and clinical outcome in acute myocardial infarction patients treated with early coronary intervention. Am J Cardiol 2006;97:1137–41.
Lim M, Ziaee A, Kern MJ. Collateral vessel physiology and functional impact-in vivo assessment of collateral channels. Coron Artery Dis 2004;15:379–88. Review.
Kim SY, Seo JB, Do K-H, Heo J-N, Lee JS, Song J-W, Choe YH, Kim TH, Yong HS, Choi SI, Song K-S, Lim T-H. Coronary artery anomalies: classification and ECG-gated multidetector row CT findings with angiographic correlation. Radiographics 2006;26:317–33.
Angelini P, Velasco JA, Flamm S. Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation 2002;105:2449–54.
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© 2009 Humana Press, a part of Springer Science+Business Media, LLC
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Houser, S.L. (2009). The Postmortem Coronary Injection. In: The Operated Heart at Autopsy. Humana Press. https://doi.org/10.1007/978-1-60327-808-9_3
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DOI: https://doi.org/10.1007/978-1-60327-808-9_3
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