By Wallace A. McAlpine M.D., F.A.C.S., F.R.C.S, Eng., F.R.C.S. ED. (auth.)
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Extra resources for Heart and Coronary Arteries: An Anatomical Atlas for Clinical Diagnosis, Radiological Investigation, and Surgical Treatment
Elevated views are needed in arteriography. Anterosuperior Border of L. : Left lateral view (see 3): Due to the shape of the left ventricle, the anterolateral branch and the anterior LV. sulcus (and its artery) overlap to a variable degree. O. view (This can be deduced from the mirror image of 4): (a) The anterolateral branch, not the anterior LV. branch, runs along this border. This relationship is seen better on the next two pages. O. view. P. O. views of horizontal plane arteriograms, particularly in horizontal hearts (exemplified here).
Specimen B: 4: Superior non attitudinal view: The leaflets are seen in their normal anteroposterior relationship. The right is seen in the lower portion of the photograph. The leaflets are in apposition. The noduli are in the center of the photograph. The site of leaflet attachment at their nadir is indicated by arrows. Muscle is seen in the right sinus. Specimen C: 5: Observe the vertical disposition of the annular attachments of the leaflets; this feature is also seen in 6. IV. ) and the right coronary artery identify the left and right aortic sinuses.
The aortic catheter is on the left. A second catheter 22 crosses the field diagonally, coursing through the right ventricle, indicating the relation of the latter to the right aortic sinus. 3: The axis of the coplanar annular nadirs is 30° above the horizontal. The line passing through the nadir of the right and the commissure of the posterior and left annuli intersects the annular axis at a right angle. Characteristically, the posterior sinus is the lowest and the left the highest, as seen here.