右心室节制索：从列奥纳多·达·芬奇的绘图到当前的心脏成像
The Right Ventricular Moderator Band: From Leonardo da Vinci's Drawings to Current Cardiac Imaging.
作者信息
González-Casal David, Sánchez-Quintana Damián, Jiménez Restrepo Alejandro, Datino Tomás, Martínez de Vega Vicente, Bayona Horta Silvia, Fontela Adolfo, Terol Espinosa de Los Monteros Belén, Hernández Jiménez Sergio, Cabrera José-Ángel
机构信息
Cardiology Department, Hospital Universitario QuirónSalud, European University of Madrid, Madrid, Spain.
Department of Human Anatomy, Faculty of Medicine, Badajoz, Spain.
出版信息
JACC Case Rep. 2024 Nov 6;29(21):102647. doi: 10.1016/j.jaccas.2024.102647.
ANATOMY
We aim to review the anatomy of the moderator band (MB) and the trabeculated right ventricle (RV).
PATHOLOGY
We thoroughly describe the morphological variations of the MB and its spatial relationship with the right ventricular anterior papillary muscle, its muscular trabeculations, and the free wall.
IMAGING CORRELATION
We provide echocardiography, computed tomography, and magnetic resonance imaging to better understand histologic specimens of the MB, the trabeculated RV, and the right ventricular papillary muscles.
TREATMENT
We provide examples of intracardiac echocardiography and transesophageal echocardiogram to guide safe and effective structural interventions in the RV, and mapping and ablation of ventricular arrhythmias arising from the MB.
解剖学
我们旨在回顾节制索（MB）和小梁化右心室（RV）的解剖结构。
病理学
我们详细描述了节制索的形态变异及其与右心室前乳头肌、肌小梁和游离壁的空间关系。
影像学关联
我们提供超声心动图、计算机断层扫描和磁共振成像，以更好地理解节制索、小梁化右心室和右心室乳头肌的组织学标本。
治疗
我们提供心内超声心动图和经食管超声心动图的实例，以指导右心室内安全有效的结构性干预，以及对源于节制索的室性心律失常进行标测和消融。
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