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Understanding Cardiac Anatomy and Imaging to Improve Safety of Procedures: The Right Ventricle

  • Takanori Sato
  • , Kyle Adlaka
  • , Issam D. Moussa
  • , Peter Hanna
  • , Duc H. Do
  • , Michael C. Fishbein
  • , Kalyanam Shivkumar
  • , Shumpei Mori

Research output: Contribution to journalArticlepeer-review

Abstract

Right ventricular perforation is a catastrophic complication of catheter-based intracardiac interventions. In this context, appreciation of 5 attachments of the right ventricle to the aortoventricular unit is essential to recognize extent of right ventricular free wall. We herein present progressive dissection and virtual and photographic endoscopic images of the hearts without distortion. Real dissection images show us how and where to avoid this complication by indicating the true muscular component of the ventricular septum. Both virtual and photographic endoscopic images, when combined with transillumination, beautifully shows the thin wall regions and trabeculations with unprecedented clarity. We believe recognition of these anatomical nuances can reduce the likelihood of right ventricular perforation.

Original languageEnglish (US)
Pages (from-to)1348-1352
Number of pages5
JournalJACC: Cardiovascular Imaging
Volume16
Issue number10
DOIs
StatePublished - Oct 2023

Keywords

  • anatomy
  • cardiac perforation
  • endoscopic image
  • thin wall

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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