The Common Vein Copyright 2007


Subaortic VSD

This is a series of angiograms of the left ventricle in LAO projection showing a puff of contrast into the right ventricle through the interventricular septum. A similar collection of contrast is noted in the the main pulmonary artery just to the left of the aorta. This high VSD is in the position of the membranous septum and thus represents a mebranous ventricular septal defect.. Courtesy Ashley Davidoff MD. 00250 code cardiac heart LV RV VSD membranous MPA aorta AO congenital imaging radiology angiography

Aortic Valve and Sinus

Aortic VAlve Atresia with Tubular Narrowing of the Ascending Arch and Isthmus

00269b02 heart cardiac coronary artery aorta small dx aortic atresia tubular hypoplasia aortic coarctation aortic atresia PDA patent ductus arteriosus angiogram angiogaphy CHD congenital heart disease Davidoff MD 00269b01 00269b02 00269b03

Transposition of the Great Vessels Aortic Valve is Anterior

This is an angiogram of the RV, showing an anteriorly placed aorta, a VSD filling the LV, and a posteriorly positioned smaller MPA. The catheter courses via the IVC into the RV. The findings are consistent with TGA and in this case a D-TGA, though it is impossible to identify the position of the aortic valve in relation to the PA in this lateral projection. An associated VSD and subpulmonary stenosis and or PS is implied by the small sized PA. Courtesy Ashley Davidoff MD 01487 code CVS heart cardiac transpoistion of the great arteries DTGA VSD subpulmonary stenosis imaging radiology angiography

Anomalous Origin of the Coronary Artery  from the MPA

This injection into the base of the aorta showing filling of a dilated right coronary artery, collateral flow through the septal perforators, into a dilated LAD and then into the main pulmonary artery. (MPA) This is a case of anomalous origin of the left coronary from the MPA. Courtesy Ashley Davidoff MD. 07024 code cardiac heart artery coronary LAD circumflex anomalous origin of LAD from MPA congenital septal artery collateral large AVM imaging radiology angiography

07024 15038 15038c01 cardiac heart coronary artery RCA enlarged enlarged septal collaterals retrograde filling of LAD aberrant anomalous origin of the LAD from MPA angiogram angiography Courtesy Ashley Davidoff MD

Ascending Aorta

Ascending Aortic Aneurysm

35274 Courtesy of Laura Feldman MD. code anueyrsn aorta artery ascending

Aortic Arch

Aortic Arch – Pseudoaneurysm

This image represents a combination of plain film CXR and the correlative thoracic aortogram in a 38 year old patient, 13 years after an MVA. There is an aneurysmal bulge at the level of the isthmus, representing a traumatic aneurysm at the characteristic location of the ligamentum arteriosum. The P-A and lateral chest X-ray shows an enlarged and unusually shaped aortic knob and the angiogram confirms the pseudoaneurysm of the aorta. 35178c Courtesy of Laura Feldman MD. code CVS aorta artery thorax trauma

Smooth Narrowing – Takayasu’s Aortitis

20354b01 14 year old male artery thoracic aorta fx smooth narrowing of isthmus of aorta Takayasu’s aortitis angiography angiogram Courtesy Ashley Davidoff MD


Aortic Interruption – Severe Coarctation

The most obvious finding in this CXR (a) with pleuro-parenchymal changes is not the most significant. In image (b) the highlighted ribs reveal rib notching characteristic of coarctation of the aorta. The lateral examination (c) in this instance is not helpful. In the early phase of the angiogram(d), there appears to be complete interruption of the aorta with a large left subclavian artery acting as a collateral pathway. The sbsequent images e, and f, show progressive filling of the isthmus and distal thoracic aorta. The coarcatation becomes apparent characterised by a “3” sign. 35107c Courtesy Laura Feldman MD code CVS artery aorta thorax coarctation rib notching bone collateral

Descending Aorta

Type B dissection involving descending thoracic and abdominal aorta

24588 thorax abdomen fx dissection true lumen false lumen occluded renal artery angiogram angiography Courtesy Ashley Davidoff MD

Abdominal Aorta

Normal and Severe Atherosclerosis

18485c01 aorta artery hepatic artery renal artery splenic artery superior mesenteric artery SMA kidney severe atheroscleroris atheroma occluded renal artery spleen liver normal anatomy angiogram angiography Davidoff MD

Traumatic Dissection of the Abdominal Aorta wit Loss of Perfusion of the Left Renal Artery

These images represent a traumatic dissection of the abdominal aorta caused by a compression injury to the abdomen. The angiograms in a and b shows what appears to be a complex tear of the aorta with a dissection and then a subtotal obstruction of the aorta distally. The CTscan shows (c) the dissection to better effect, with a subtotal narrowing of the aorta distally. Note also the injury of the left renal artery on the angiogram as well as the lack of perfusion of the left kidney on the CT scan. Courtesy Ashley Davidoff MD. 14734c code aorta abdomen trauma dissection