Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Clin Anat. 2024 Jan;37(1):43-53. doi: 10.1002/ca.24083. Epub 2023 Jun 19.
Outflow tract ventricular arrhythmias are the most common type of idiopathic ventricular arrhythmia. A systematic understanding of the outflow tract anatomy improves procedural efficacy and enables electrophysiologists to anticipate and prevent complications. This review emphasizes the three-dimensional spatial relationships between the ventricular outflow tracts using seven anatomical principles. In turn, each principle is elaborated on from a clinical perspective relevant for the practicing electrophysiologist. The developmental anatomy of the outflow tracts is also discussed and reinforced with a clinical case.
流出道室性心律失常是最常见的特发性室性心律失常类型。系统了解流出道解剖结构可提高手术效果,并使电生理学家能够预测和预防并发症。本综述强调了使用七个解剖学原则的流出道的三维空间关系。反过来,从与电生理学家临床实践相关的角度详细阐述了每个原则。还讨论了流出道的发育解剖结构,并结合临床病例进行了强化。