Difference between revisions of "CT of the heart before surgery or intervention"
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{{Top | {{Top | ||
|author1=[[User:Mikael Häggström|Mikael Häggström]] | |author1=[[User:Mikael Häggström|Mikael Häggström]] | ||
− | |author2= | + | |author2=Authors of integrated Creative Commons article<ref name="RajiahSchoenhagen2013">{{cite journal|last1=Rajiah|first1=Prabhakar|last2=Schoenhagen|first2=Paul|title=The role of computed tomography in pre-procedural planning of cardiovascular surgery and intervention|journal=Insights into Imaging|volume=4|issue=5|year=2013|pages=671–689|issn=1869-4101|doi=10.1007/s13244-013-0270-8}}</ref> |
}} | }} | ||
==Planning== | ==Planning== | ||
{{Heart imaging before surgery or intervention - choice of modality}} | {{Heart imaging before surgery or intervention - choice of modality}} | ||
+ | |||
+ | ==Evaluation== | ||
+ | Depending on procedure:<ref name="RajiahSchoenhagen2013"/> | ||
+ | |||
+ | Re-operative cardiothoracic surgery | ||
+ | *Relationship of cardiovascular structures to sternum. | ||
+ | *Relationship of coronary bypass grafts to sternum | ||
+ | *Atherosclerotic calcification of ascending aorta | ||
+ | *Anatomy of subclavian & axillary arteries and aortic arch | ||
+ | Percutaneous aortic valve | ||
+ | *Aortic root dimensions | ||
+ | *LV outflow tract: size; septal thickness | ||
+ | *Leaflet morphology/calcification | ||
+ | *Valve area | ||
+ | *Leaflet opening | ||
+ | *Distance between annulus and coronary ostia | ||
+ | *Leaflet length | ||
+ | *Relationship of aortic root to body axis | ||
+ | *Caliber and contour of access vessels | ||
+ | Pulmonary venous ablation | ||
+ | *Pulmonary venous anatomy | ||
+ | *Branching pattern | ||
+ | *Orientation | ||
+ | *Ostial size and pulmonary venous stenosis | ||
+ | *Left atrial dimensions | ||
+ | *Thrombus | ||
+ | *Relationship to oesophagus | ||
+ | Robotic mitral valve repair | ||
+ | *Annulus and leaflet morphology | ||
+ | *Mitral annular calcification | ||
+ | *Annulus dimensions | ||
+ | *Calibre of femoral vessels | ||
+ | *Atherosclerosis of access vessels | ||
+ | *Distance from sinotubular junction to arch | ||
+ | Cardiac resynchronisation therapy | ||
+ | *Coronary venous anatomy | ||
+ | *Scar in lateral wall | ||
+ | Percutaneous mitral annuloplasty | ||
+ | *Distance between coronary sinus/GCV and annulus | ||
+ | *LCX between CS-GCV and annulus | ||
+ | *Calcification of mitral annulus | ||
+ | Atrial septal defect closure | ||
+ | *Type of defect | ||
+ | *Size of defect | ||
+ | *Rim of defect | ||
+ | Associated cardiovascular anomalies | ||
+ | Thrombus | ||
+ | Ventricular septal defect closure | ||
+ | *Type of defect | ||
+ | *Size of defect | ||
+ | *Shape of defect | ||
+ | *Proximity to valves and AV conduction bundle | ||
+ | Endovascular stent grafts | ||
+ | *Measurement of the primary pathology | ||
+ | *Maximal aortic diameter at the landing zone/neck | ||
+ | *Thrombus/atheroma in the landing zone | ||
+ | *Distance from major branch vessel | ||
+ | *Angulation at diaphragm | ||
+ | *Calibre of femoral/iliac arteries | ||
+ | Percutaneous pulmonary valve implantation | ||
+ | *Calibre of RV-PA conduit | ||
+ | *Length of the conduit available from pulmonary artery bifurcation | ||
+ | *RVOT/pulmonary trunk morphology | ||
+ | *Position of proximal coronary arteries | ||
{{Bottom}} | {{Bottom}} |
Revision as of 09:32, 19 July 2019
Authors:
Mikael Häggström; Authors of integrated Creative Commons article[1] [notes 1]
Planning
Choice of modality
- Echocardiography is generally the first imaging modality for valvular surgery or vascular intervention.[1]
- CT of the heart before surgery or intervention provides anatomic mapping, including extra-cardiac structures.[1]
Evaluation
Depending on procedure:[1]
Re-operative cardiothoracic surgery
- Relationship of cardiovascular structures to sternum.
- Relationship of coronary bypass grafts to sternum
- Atherosclerotic calcification of ascending aorta
- Anatomy of subclavian & axillary arteries and aortic arch
Percutaneous aortic valve
- Aortic root dimensions
- LV outflow tract: size; septal thickness
- Leaflet morphology/calcification
- Valve area
- Leaflet opening
- Distance between annulus and coronary ostia
- Leaflet length
- Relationship of aortic root to body axis
- Caliber and contour of access vessels
Pulmonary venous ablation
- Pulmonary venous anatomy
- Branching pattern
- Orientation
- Ostial size and pulmonary venous stenosis
- Left atrial dimensions
- Thrombus
- Relationship to oesophagus
Robotic mitral valve repair
- Annulus and leaflet morphology
- Mitral annular calcification
- Annulus dimensions
- Calibre of femoral vessels
- Atherosclerosis of access vessels
- Distance from sinotubular junction to arch
Cardiac resynchronisation therapy
- Coronary venous anatomy
- Scar in lateral wall
Percutaneous mitral annuloplasty
- Distance between coronary sinus/GCV and annulus
- LCX between CS-GCV and annulus
- Calcification of mitral annulus
Atrial septal defect closure
- Type of defect
- Size of defect
- Rim of defect
Associated cardiovascular anomalies Thrombus Ventricular septal defect closure
- Type of defect
- Size of defect
- Shape of defect
- Proximity to valves and AV conduction bundle
Endovascular stent grafts
- Measurement of the primary pathology
- Maximal aortic diameter at the landing zone/neck
- Thrombus/atheroma in the landing zone
- Distance from major branch vessel
- Angulation at diaphragm
- Calibre of femoral/iliac arteries
Percutaneous pulmonary valve implantation
- Calibre of RV-PA conduit
- Length of the conduit available from pulmonary artery bifurcation
- RVOT/pulmonary trunk morphology
- Position of proximal coronary arteries
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.