Cardiac Imaging Cases (Cases in Radiology) PDF
Preview Cardiac Imaging Cases (Cases in Radiology)
Cardiac Imaging Cases C harles S . W hite, MD Professor of Radiology and Medicine C hief of Thoracic Radiology D epartment of Diagnostic Radiology University of Maryland Medical Center Baltimore, Maryland Jo seph J en-Sho C hen, MD Cardiothoracic Fellow Department of Diagnostic Radiology University of Maryland Medical Center Baltimore, Maryland 1 2 011 Abbreviations iii 1 Oxford University Press, Inc., publishes works that further O xford University’s objective of excellence in research, scholarship, and education. Oxford New York Auckland Cape Town Dar es Salaam Hong Kong Karachi Kuala Lumpur Madrid Melbourne Mexico City Nairobi N ew Delhi Shanghai Taipei Toronto With offi ces in Argentina Austria Brazil Chile Czech Republic France Greece Guatemala Hungary Italy Japan Poland Portugal Singapore South Korea Switzerland Th ailand Turkey Ukraine Vietnam Copyright © 2011 by Oxford University Press, Inc. Published by Oxford University Press, Inc. 1 98 Madison Avenue, New York, New York 10016 www.oup.com Oxford is a registered trademark of Oxford University Press. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of Oxford University Press. Library of Congress Cataloging-in-Publication Data W hite, Charles S. Cardiac imaging cases / Charles S. White, Joseph Jen-Sho Chen. p. ; cm.—(Cases in radiology) I ncludes bibliographical references and indexes. ISBN 978-0-19-539543-3 1. Heart—Imaging—Case Reports. I. Chen, Joseph Jen-Sho. II. Title. III. Series: Cases in radiology. [ DNLM: 1. Diagnostic Imaging—Case Reports. 2. Heart Diseases—diagnosis—Case Reports. WG 141 W583c 2011] RC683.5.I42W55 2011 616.1′0754—dc22 2010013244 Th is material is not intended to be, and should not be considered, a substitute for medical or other professional advice. Treatment for the conditions described in this material is highly dependent on the i ndividual circum- stances. And, while this material is designed to off er accurate information with respect to the subject matter cov- ered and to be current as of the time it was written, research and knowledge about medical and health issues is constantly evolving and dose schedules for medications are being revised c ontinually, with new side eff ects rec- ognized and accounted for regularly. Readers must therefore always c heck the product information and clini- cal procedures with the most up-to-date published product i nformation and data sheets provided by the man- ufacturers and the most recent codes of conduct and safety regulation. Th e publisher and the authors make no representations or warranties to readers, express or implied, as to the accuracy or completeness of this material. Without limiting the foregoing, the publisher and the authors make no representations or warranties as to the accuracy or effi cacy of the drug dosages mentioned in the material. Th e authors and the publisher do not accept, and expressly disclaim, any r esponsibility for any liability, loss or risk that may be claimed or incurred as a con- sequence of the use and/or application of any of the contents of this material. 9 8 7 6 5 4 3 2 1 Printed in China on acid-free paper To my wife, Ellen, for her steadfast support in putting up with all the twists and turns that an academic career entails. C.S.W. To my wife, Eunju, for her patience, support, and love. J.J.C. Preface Th is book provides an overview of cardiac imaging across the spectrum of cardiac disease. It is presented in an easy-to-read case-based format that includes the most recent information on each of these entities. Although the book is not intended to be comprehensive, wherever possible we have chosen classic images and distilled the most relevant information for those interested in learning cardiac imaging. Th e book is divided into several parts. Th e fi rst part consists of a brief review of basic anatomy. Subsequent parts are divided by disease category. Cases within each part have been placed in random order. Although no book is all-inclusive, we hope this volume will assist you in your journey to master cardiac imaging. C harles S. White, MD J oseph Jen-Sho Chen, MD Acknowledgments We thank all of those who contributed to or assisted in obtaining some of the cases, particularly Dr. Jean Jeudy, M.D., of the University of Maryland (Cases 64, Cardiac Amyloidosis; 65, Cardiac Sarcoidosis; 66, Arrythmogenic Right Ventricular Dysplasia; and 68, Takotsubo Cardiomyopathy), Dr. Laura E. Heyneman, M.D., of Duke University (Case 56, Ventricular Septal Rupture), Dr. Jeff rey S. Mueller, M.D., of Allegheny General Hospital (Case 15, Cor Triatrium), and Dr. Jacob Kirsch, MD, of Cleveland Clinics (Case 11, Bland-White-Garland Syndrome). Th e Publisher thanks the following for their time and advice: Mark Anderson, University of Virginia S anjeev Bhalla, Mallinckrodt Institute of Radiology, Washington University M ichael Bruno, Penn State Hershey Medical Center Melissa Rosado de Christenson, St. Luke’s Hospital of Kansas City R ihan Khan, University of Arizona A ngela Levy, Georgetown University Alexander Mamourian, University of Pennsylvania Stacy Smith, Brigham and Women’s Hospital Contents Abbreviations xiii 1 Normal Anatomy 1 2 Congenital Heart Disease—Coronary and Great Vessels 13 3 Great Vessel Disease 45 4 Congenital Heart Disease—Cardiac 63 5 Ischemic Heart Disease—Coronary Artery Disease 95 6 Ischemic Heart Disease—Myocardial 109 7 Myocardial Disease—Intrinsic 131 8 Myocardial Disease—Tumors and Tumor-like Conditions 155 9 Cardiac Valvular Disease 175 10 Pericardial Disease 207 11 Support Devices 233 12 Postintervention/Postoperative 243 Index of Cases 255 Index 257 Abbreviations AA a myloid associated ACE angiotensin converting enzyme AcuteMarg a cute marginal AICD automated implantable cardioverter-defi brillator aka a lso known as AL amyloid light ARVC a rrhythmogenic right ventricular cardiomyopathy ARVD arrhythmogenic right ventricular dysplasia ASD a trial septal defect ATTR amyloid Transthyretin AV a trioventricular CABG coronary artery bypass graft CAC c oronary artery calcifi cation CCA c ommon carotid artery CAD coronary artery disease CE c ontrast enhancement CECT c ontrast-enhanced computed tomography CHD congestive heart disease CHF congestive heart failure CM c ardiomyopathy COPD c hronic obstructive pulmonary disease CT c omputed tomography CTA c omputed tomographic angiography CT/MR c omputed tomography/magnetic resonance CXR chest x-ray CVA cardiovascular accident DM d iabetes mellitus EBCT e lectron beam computed tomography ECG e lectrocardiogram ECHO extracorporeal membrane oxygenation EF ejection fraction FPP fi rst-pass perfusion FS fat saturation GI gastrointestinal HIV human immunodefi ciency virus HOCM h ypertrophic obstructive cardiomyopathy HRCT h igh-resolution computed tomography HTN hypertension IACB i ntra-aortic counterpulsion balloon ICD implantable cardioverter-defi brillator IHSS i diopathic hypertrophic subaortic stenosis IMA i nternal mammary artery IPF i nterstitial pulmonary fi brosis IVC inferior vena cava LA l eft atrium LAD l eft anterior descending LBBB left bundle branch block LCA l eft coronary artery LCx left circumfl ex LLL l eft lower lobe LM l eft main LUL left upper lobe LV left ventricle LVAD left ventricular assisted device LVOT left ventricular outfl ow tract MAPCA m ajor aorto-pulmonary collateral arteries MI myocardial infarction MIP maximum intensity projection MPR multiplanar reconstruction MR m agnetic resonance MRA magnetic resonance angiography NECT n onenhanced computed tomography OM obtuse marginal PA pulmonary artery PAPVR p artial anomalous pulmonary venous return PCI p ercutaneous coronary intervention PDA p osterior descending artery; patent ductus arteriosus PFO patent foramen ovale PLB posterolateral branch PV pulmonary vein RA right atrium RCA r ight coronary artery RBBB r ight bundle branch block RLL r ight lower lobe RML right middle lobe ROI region of interest RUL r ight upper lobe RV r ight ventricle xiv Abbreviations RVOT right ventricular outfl ow tract SA sinoatrial SAM s ystolic anterior motion SANodal s inoatrial nodal SSFP s teady-state free perfusion SVC s uperior vena cava T1WI T 1-weighted image T2WI T 2-weighted image T1+Gad T 1-weighted image plus gadolinium enhancement TAPVR t otal anomalous pulmonary venous return TGA t ransposition of great arteries TOF tetralogy of Fallot US ultrasound VSD ventricular septal defect XA x-ray angiography Abbreviations xv
The list of books you might like
