Abstract
The heart and lungs are of utmost importance in the vascular diagnostic approach by postmortem angiography. Nonoccluded coronary arteries can be opacified down to their myocardial branches. Since a standard anatomy of the coronary arteries is found in less than 50 % of all cases, different coronary dominance types and variations of origin and course of the vessels can be reliably detected. The filling of the heart chambers with contrast medium may be helpful for volumetry. A regular anatomy of the heart valves should be demonstrable. The ramifications of non-occluded pulmonary arteries are easily demonstrable by retrograde filling of the venous system; however, the pulmonary veins may not be contrasted if retrograde filling via the aortic and mitral valves is impeded or remains incomplete.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Loukas M, Klaassen Z, Tubbs RS, Derderian T, Paling D, Chow D, et al. Anatomical observations of the moderator band. Clin Anat. 2010;23:443–50.
Lüdinghausen M. The clinical anatomy of the coronary arteries. Berlin/Heidelberg: Springer; 2003.
Ķosar P, Ergun E, Öztürk C, Ķosar U. Anatomic variations and anomalies of the coronary arteries: 64-slice CT angiographic appearance. Diagn Interv Radiol. 2009;15:275–83.
Cavalcanti JS, de Lucena Oliveira M, Pais et Melo AV, Balaban G, de AndradeOliveira CL, de Lucena Olveira E. Anatomic variations of the coronary arteries. Arq Bres Cardiol. 1995;65:489–92.
Morris G, Innasimuthu AF, Perry R. The association of heart valve diseases with coronary artery dominance. J Heart Valve Dis. 2010;19:389–93.
Das H, Das G, Das D, Talukdar K. A study of coronary dominance in the population of Assam. J Anat Soc India. 2010;59:187–91.
Karaca M, Kirilmaz A, Oncel G, Yilmaz H, Tamci B, Gurcay B. Contrast-enhanced 64-slice computed tomography in detection and evaluation of anomalous coronary arteries. Tohoku J Exp Med. 2007;213:249–59.
Alkadhi H, Leschka S, Marincek B, Flohr T, Praxishandbuch Herz CT. Grundlagen- Durchführung- Befundung. [Practical handbook on cardiac CT: principles-performace-diagnosis]. Heidelberg: Springer; 2009. p. 37.
Yang FY, Ma GT. Anomalous origin of left anterior descending and circumflex coronary artery from two separate ostia in the right sinus of valsalva with unusual dominant right coronary artery. J Invasive Cardiol. 2010;22:E180–2.
La Vecchia L, Favero L, Fontanelli A. Anomalous origin of left anterior descending and circumflex coronary artery from two separate ostia in the right aortic sinus. Heart. 2002;88:322.
Basso C, Maron BJ, Corrado D, Thiene G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol. 2000;35:1493–501.
Thebesius AC. De circulo sanguinis in corde. Disputatio medica inauguralis [on cardiac blood circulation]. [Doctoral dissertation]. Leiden: University of Leiden; 1708.
Wearn JT, Mettier SR, Klumpp TG, Zschiesche LJ. The nature of the vascular communications between the coronary arteries and the chambers of the heart. Am Heart J. 1933;9:143–64.
Snodgrass BT. Vessels described by Thebesius and Pratt are distinct from those described by Vieussens and Wearn. Am J Cardiol. 2012;110:160.
Javan R, Gay SB, Kaufmann TJ, Norton PT, Bozlar U, Hagspiel KD. CT pulmonary angiography. 2014. Online tutorial. University of Virginia Health Sciences Center, Department of Radiology. https://www.med-ed.virginia.edu/courses/rad/CTPA/index.html. Accessed 22 Dec 2014.
Boyden EA. Segmental anatomy of the lungs. New York: McGraw-Hill; 1955. p. 23–32.
Jackson CL, Huber JF. Correlated applied anatomy of the bronchial tree and lungs with system of nomenclature. Dis Chest. 1943;9:319.
Marom EM, Herndon JE, Kim YH, McAdams HP. Variations in pulmonary venous drainage to the left atrium: implications for radiofrequency ablation. Radiology. 2004;230:824–9.
Javan R, Gay SB, Kaufmann TJ, Norton PT, Bozlar U, Hagspiel KD. CT pulmonary angiography. Online tutorial, University of Virginia. 2013. https://www.med-ed.virginia.edu/courses/rad/CTPA/index.html. Accessed 14 Dec 2014.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Heinemann, A., Vogel, H. (2016). Anatomy of the Heart and Lungs in Postmortem Angiography. In: Grabherr, S., Grimm, J., Heinemann, A. (eds) Atlas of Postmortem Angiography. Springer, Cham. https://doi.org/10.1007/978-3-319-28537-5_13
Download citation
DOI: https://doi.org/10.1007/978-3-319-28537-5_13
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-28535-1
Online ISBN: 978-3-319-28537-5
eBook Packages: MedicineMedicine (R0)