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Radiology, Vol 170, 343-350, Copyright © 1989 by Radiological Society of North America

ARTICLES

Orthotopic cardiac transplantation: evaluation with CT

DA Henry, HL Corcoran, TD Lewis, GR Barnhart, S Szentpetery and RR Lower
Department of Radiology, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0615.

As cardiac transplantation has become widely available, computed tomography (CT) of the chest has played a useful role in the examination of patients after heart transplantation. To determine anatomic features related to the procedure, the authors evaluated 59 scans in 46 patients who had undergone orthotopic cardiac transplantation. Aortic anastomosis (seen in 98% of scans) and altered spacing between the great vessels (83%) proved to be the most common and most reliable findings. Other features including atrial anastomosis, high main pulmonary artery segment, remnant superior vena cava, and cardiac reorientation were also seen. Accurate interpretation of adenopathy, mediastinal abscess, and pericardial effusion will be enhanced in these patients through a better understanding of the cardiovascular-pericardial complex, which is afforded by CT.


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N. R. Bogot, R. Durst, D. Shaham, and D. Admon
Cardiac CT of the Transplanted Heart: Indications, Technique, Appearance, and Complications
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[Abstract] [Full Text] [PDF]

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B. L. Knisely, L. A. Mastey, J. Collins, J. E. Kuhlman, and A. N. Leung
Imaging of Cardiac Transplantation Complications
RadioGraphics, March 1, 1999; 19(2): 321 - 341.
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