Abstract
The advent of multidetector computed tomography (CT) and magnetic resonance imaging (MRI) provides information of cardiac structures in detail with a three-dimensional data. A variety of postprocessing techniques allow noninvasive assessment of every aspect of the cardiovascular system. This capability requires a thorough understanding of essential coronary arterial and cardiac anatomy. Familiarity with normal anatomic structures is necessary to prevent misinterpretation of findings.
In this section, we review the anatomical perspective of the cardiac chambers with an emphasis on anatomic pitfall and variance that can be misinterpreted as pathologic lesion at radiologic examination. Also we introduce the imaging planes commonly used in cardiac imaging.
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References
Kim EY, Park JH, Choe YH, Lee SC. Normal variations and anatomic pitfalls that may mimic diseases on coronary CT angiography. Int J Cardiovasc Imaging. 2010;26 Suppl 2:281–94.
Broderick LS, Brooks GN, Kuhlman JE. Anatomic pitfalls of the heart and pericardium. Radiographics. 2005;25:441–53.
Cho HJ, Jung JI, Kim HW, Lee KY. Intracardiac eustachian valve cyst in an adult detected with other cardiac anomalies: usefulness of multidetector CT in diagnosis. Korean J Radiol. 2012;13:500–4.
Roldán FJ, Vargas-Barrón J, Espinola-Zavaleta N, Romero-Cárdenas A, Vázquez-Antona C, Burgueño GY, Muñoz-Castellanos L, Zabalgoitia M. Three-dimensional echocardiography of the right atrial embryonic remnants. Am J Cardiol. 2002;89:99–101.
Hellerstein HK, Orbison JL. Anatomic variations of the orifice of the human coronary sinus. Circulation. 1951;3:514–23.
Katti K, Patil NP. The thebesian valve: gatekeeper to the coronary sinus. Clin Anat. 2012;25:379–85.
Kim E, Choe YH, Han BK, Kim SM, Kim JS, Park SW, Sung J. Right ventricular fat infiltration in asymptomatic subjects: observations from ECG-gated 16-slice multidetector CT. J Comput Assist Tomogr. 2007;31:22–8.
Kimura F, Matsuo Y, Nakajima T, Nishikawa T, Kawamura S, Sannohe S, Hagiwara N, Sakai F. Myocardial fat at cardiac imaging: how can we differentiate pathologic from physiologic fatty infiltration? Radiographics. 2010;30:1587–602.
Abbara S, Mundo-Sagardia JA, Hoffmann U, Cury RC. Cardiac CT assessment of left atrial accessory appendages and diverticula. Am J Roentgenol. 2009;193:807–12.
Lazoura O, Reddy T, Shriharan M, Lindsay A, Nicol E, Rubens M, Padley S. Prevalence of left atrial anatomical abnormalities in patients with recurrent atrial fibrillation compared with patients in sinus rhythm using multi-slice CT. J Cardiovasc Comput Tomogr. 2012;6:268–73.
Mortensson W. Radiologic diagnosis of cor triatriatum in infants. Pediatr Radiol. 1973;1:92–5.
Kerut EK, Norfleet WT, Plotnick GD, Giles TD. Patent foramen ovale: a review of associated conditions and the impact of physiological size. J Am Coll Cardiol. 2001;38:613–23.
Kim YJ, Hur J, Shim CY, Lee HJ, Ha JW, Choe KO, Heo JH, Choi EY, Choi BW. Patent foramen ovale: diagnosis with multidetector CT-comparison with transesophageal echocardiography. Radiology. 2009;250:61–7.
Rojas CA, El-Sherief A, Medina HM, Chung JH, Choy G, Ghoshhajra BB, Abbara S. Embryology and developmental defects of the interatrial septum. Am J Roentgenol. 2010;195:1100–4.
Hara H, Virmani R, Ladich E, Mackey-Bojack S, Titus J, Reisman M, Gray W, Nakamura M, Mooney M, Poulose A, Schwartz RS. Patent foramen ovale: current pathology, pathophysiology, and clinical status. J Am Coll Cardiol. 2005;46:1767–76.
Kutty S, Sengupta PP, Khandheria BK. Patent foramen ovale: the known and the to be known. J Am Coll Cardiol. 2012;59:1665–71.
Agmon Y, Khandheria BK, Meissner I, Gentile F, Whisnant JP, Sicks JD, O’Fallon WM, Covalt JL, Wiebers DO, Seward JB. Frequency of atrial septal aneurysms in patients with cerebral ischemic events. Circulation. 1999;99:1942–4.
Hanley PC, Tajik AJ, Hynes JK, Edwards WD, Reeder GS, Hagler DJ, Seward JB. Diagnosis and classification of atrial septal aneurysm by two-dimensional echocardiography: report of 80 consecutive cases. J Am Coll Cardiol. 1985;6:1370–88.
Overell JR, Bone I, Lees KR. Interatrial septal abnormalities and stroke: a meta-analysis of case-control studies. Neurology. 2000;55:1172–9.
Choi M, Jung JI, Lee BY, Kim HR. Ventricular septal aneurysms in adults: findings of cardiac CT images and correlation with clinical features. Acta Radiol. 2011;52:619–23.
Srichai MB, Hecht EM, Kim DC, Jacobs JE. Ventricular diverticula on cardiac CT: more common than previously thought. Am J Roentgenol. 2007;189:204–8.
Germans T, Wilde AA, Dijkmans PA, Chai W, Kamp O, Pinto YM, van Rossum AC. Structural abnormalities of the inferoseptal left ventricular wall detected by cardiac magnetic resonance imaging in carriers of hypertrophic cardiomyopathy mutations. J Am Coll Cardiol. 2006;48:2518–23.
Brouwer WP, Germans T, Head MC, van der Velden J, Heymans MW, Christiaans I, Houweling AC, Wilde AA, van Rossum AC. Multiple myocardial crypts on modified long-axis view are a specific finding in pre-hypertrophic HCM mutation carriers. Eur Heart J Cardiovasc Imaging. 2012;13:292–7.
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Jung, J.I. (2015). Normal Cardiac Anatomy and Anatomic Pitfall/Variance. In: Lim, TH. (eds) Practical Textbook of Cardiac CT and MRI. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36397-9_1
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DOI: https://doi.org/10.1007/978-3-642-36397-9_1
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