Correspondence between left ventricular 17 myocardial segments and coronary anatomy obtained by multi-detector computed tomography: an ex vivo contribution

被引：28

作者：

Donato, Paulo ^{[1
]}

Coelho, P. ^{[2
]}

Santos, C. ^{[3
]}

Bernardes, A. ^{[2
]}

Caseiro-Alves, F. ^{[1
]}

机构：

[1] Coimbra Univ Hosp, Sch Med, Univ Clin Radiol, Coimbra, Portugal

[2] Coimbra Med Sch, Inst Normal Anat, Coimbra, Portugal

[3] Coimbra Inst Legal Med, Coimbra, Portugal

来源：

SURGICAL AND RADIOLOGIC ANATOMY | 2012年 / 34卷 / 09期

关键词：

Coronary artery disease; Multi-detector computed tomography; Computer-assisted three-dimensional imaging; Anatomy; Cross-sectional; CT ANGIOGRAPHY; SINUS NODE; PERFUSION; ANOMALIES; ARTERIES; INTEGRATION; VALIDATION; FUSION;

D O I：

10.1007/s00276-012-0976-1

中图分类号：

R602 [外科病理学、解剖学]; R32 [人体形态学];

学科分类号：

100101 ;

摘要：

The aim of this study was to investigate the correspondence between the coronary arterial anatomy and the supplied myocardium based on the proposed American Heart Association (AHA) 17-segment model. Six human cadaveric hearts without signs of infarct were selectively injected with colored contrasted gelatin in the three major coronary arteries. After injection, the hearts were scanned by computed tomography (64-detector scanner LightSpeed VCT, GE Healthcare) with a collimation of 64 x 0.625 mm. Reconstructed image data were analyzed in order to evaluate the blood supply of each myocardial segment. Coronary artery territory varies due to anatomy variations. Left anterior descending coronary artery (LAD) was the main vessel responsible for the myocardium blood supply in 11 segments. LAD contributed to the blood supply of all apical segments. Left circumflex (LCx) was the main coronary artery for the infero-anterior wall. Right coronary artery (RCA) contributed in all hearts for the blood supply of infero-septal segments. There was an important overlap between LAD and RCA territories at the infero-septal region and between LAD and LCx territories at the antero-lateral region. In our experiment, LAD territory was larger than the AHA-proposed 17-segment model. The most specific segments were located at the anterior wall and supplied exclusively by LAD. No specific segment could be exclusively attributed to RCA or to LCx. Sometimes, LCx can be the most important artery for the blood supply of the inferior wall even if the origin of the posterior descending artery is the RCA.

引用

页码：805 / 810

页数：6

共 21 条

[11] History of cardiac computed tomography: single to 320-detector row multislice computed tomography [J].

Hurlock, Gregory S. ;

Higashino, Hiroshi ;

Mochizuki, Teruhito .

INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING, 2009, 25 :31-42

[12] Definition of Vascular Territories on Myocardial Perfusion Images by Integration with True Coronary Anatomy: A Hybrid PET/CT Analysis [J].

Javadi, Mehrbod S. ;

Lautamaeki, Riikka ;

Merrill, Jennifer ;

Voicu, Corina ;

Epley, William ;

McBride, Gerald ;

Bengel, Frank M. .

JOURNAL OF NUCLEAR MEDICINE, 2010, 51 (02) :198-203

[13] Congenital coronary arteries anomalies: review of the literature and multidetector computed tomography (MDCT) - appearance [J].

Montaudon, M. ;

Latrabe, V. ;

Iriart, X. ;

Caix, P. ;

Laurent, F. .

SURGICAL AND RADIOLOGIC ANATOMY, 2007, 29 (05) :343-355

[14] Sinus node artery originating from the posterior part of the right coronary artery [J].

Nerantzis, Christos E. ;

Koulouris, Spyridon ;

Pastromas, Socrates .

SURGICAL AND RADIOLOGIC ANATOMY, 2011, 33 (04) :373-375

[15] Variation in the blood supply of the sinus node [J].

Nerantzis, Christos E. ;

Anninos, Hector ;

Koutsaftis, Philipp N. .

SURGICAL AND RADIOLOGIC ANATOMY, 2010, 32 (10) :983-984

[16] Correspondence Between the 17-Segment Model and Coronary Arterial Anatomy Using Contrast-Enhanced Cardiac Magnetic Resonance Imaging [J].

Ortiz-Perez, Jose T. ;

Rodriguez, Jose ;

Meyers, Sheridan N. ;

Lee, Daniel C. ;

Davidson, Charles ;

Wu, Edwin .

JACC-CARDIOVASCULAR IMAGING, 2008, 1 (03) :282-293

[17] Arterial supply of the posterior interventricular sulcus: a CT coronary angiographic study [J].

Ozturk, Ersin ;

Duran, Cihan ;

Sonmez, Guner ;

Sildiroglu, Huseyin Onur ;

Velioglu, Murat ;

Bozlar, Ugur ;

Hagspiel, Klaus D. .

SURGICAL AND RADIOLOGIC ANATOMY, 2011, 33 (01) :27-34

[18]

PAULIN S, 1983, CORONARY ARTERIOGRAP, P127

[19] Correspondence between left ventricular 17 myocardial segments and coronary arteries [J].

Pereztol-Valdés, O ;

Candell-Riera, J ;

Santana-Boado, C ;

Angel, J ;

Aguadé-Bruix, S ;

Castell-Conesa, J ;

Garcia, EV ;

Soler-Soler, J .

EUROPEAN HEART JOURNAL, 2005, 26 (24) :2637-2643

[20] Cardiac CT and CT coronary angiography: technology and application [J].

Roberts, W. T. ;

Bax, J. J. ;

Davies, L. C. .

HEART, 2008, 94 (06) :781-792

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