By S. Yen Ho, Sabine Ernst
eBook now integrated with buy of the print book!
This hugely visible guide integrates cardiac anatomy and the cutting-edge imaging options utilized in latest catheter or electrophysiology laboratory, guiding readers to a finished knowing of either basic cardiac anatomy and the buildings linked to complicated center disease.
good equipped, simply navigable, and beautifully illustrated in a panorama structure, this designated textual content invitations the reader on a visible intracardiac trip through gorgeous photographs and schematic illustrations, together with such imaging modalities as computed tomography, magnetic resonance imaging, ultrasound, radiography, and 3D mapping. each one bankruptcy the electrophysiology standpoint with exact descriptions of the anatomic beneficial properties proper to a large choice of arrhythmias, including:
- Supraventricular tachycardias
- Atrial fibrillation
- Ventricular arrhythmias
With an outline of common cardiac anatomy, congenital malformations, usual catheter positioning, and capability pitfalls, Anatomy for Cardiac Electrophysiologists offers an exceptional beginning and quickly reference for trainees as they arrange for the realities of the catheter laboratory in addition to an outstanding refresher for knowledgeable operators.
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Additional info for Anatomy for Cardiac Electrophysiologists: A Practical Handbook
3). indd 33 33 6/21/12 1:03 PM OVERVIEW OF ANATOMY AND IMAGING ascending in the groove between the trachea and esophagus. It is in this region that it could be vulnerable to being compressed when the roof of the left atrium is pushed superiorly, for example with a stiff catheter. Pericardial Space and Epicardial Access The heart and its adjoining great vessels are enclosed in a sac, the parietal (fibrous) pericardium. Adherent to the inside of the fibrous pericardium is the parietal layer of the serous pericardium, which reflects to cover the surfaces of the heart and proximal portions of the great vessels as the epicardium and visceral pericardium (the visceral layer), thus enclosing the pericardial cavity between the parietal and visceral layers of the serous pericardium.
When utilizing the left ventricular veins for pacing lead implants or for ablating ventricular tachycardia from a source close to the epicardium, it is worth noting that the left phrenic nerve 20 coronary sinus is marked by the entrance of the vein of Marshall, also known as the oblique left atrial vein. When this vein is persistent, it becomes the persistent left superior caval vein opening into the right atrium via the coronary sinus (see Chapter 11). 13). In the absence of the vein of Marshall or its remnant, the valve of Vieussens is taken as the anatomic landmark for the junction between the coronary sinus and the great cardiac vein.
When joined by the acute marginal vein, or vein of Galen, the small vein becomes larger in size. Several other veins, from the anterior surface of the right ventricle and from the acute margin, drain directly into the right atrium. In some hearts, the anterior veins merge into a venous lake in the right atrial wall. Again, these may be surrounded by a cuff of myocardium that gives the potential for accessory atrioventricular connection as the vein passes through the atrioventricular groove. 14 F IG U r The relationship of the left phrenic nerve (small arrows) to the great cardiac vein and to the obtuse marginal vein is shown in these two hearts.
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