and Marco Rengo1
(1)
Department of Radiological Sciences, Oncology and Pathology, Sapienza University of Rome-Polo Pontino, Latina, Italy
(2)
Department of Radiology and Radiological Sciences, Medical University of South Carolina, Charleston, SC, USA
Late Gadolinium Enhancement
Gadolinium dose: 0.1 mmol/Kg.
7–20 min after contrast medium administration.
TI: 250 – 320 ms.
Cardiac planes: 4CH, 2CH, SA.
Detection of (1) fibrosis, (2) necrosis, (3) inflammation, and (4) cardiac infiltration (e.g., amyloidosis).
Lecompte Maneuver
Part of the arterial switch operation in TGA patients.
Pulmonary artery is brought anterior to the ascending aorta.
Major complication: pulmonary artery stenosis.
See also Transposition of Great Arteries.
Left Superior Vena Cava
Prevalence: 0.3 %.
90 % bilateral SVC (bridging innominate vein common), 10 % only left SVC.
Isolated finding or associated with other congenital abnormalities (ASD, VSD, aortic coarctation).
No clinical significance if venous drainage occurs in the right chamber (usually left SVC drains in the coronary sinus).
PMK/ICD insertion can cause significant problem in case of left SVC.
Leiomyosarcoma
Rare malignant cardiac tumor.
Primary involvement of left atrium.
