Cardiac CT – Pulmonary veins and left atrium

Click here for a preview

Cardiac CT – Pulmonary veins and left atrium

Pulmonary veins and left atrium
Pulmonary veins and left atrium

Cardiac CT scan showing left atrium and pulmonary veins

RSPV: Right superior pulmonary vein; LA: Left atrium; LAA: Left atrial appendage; RIPV: Right inferior pulmonary vein; LIPV: Left inferior pulmonary vein. RA: Right atrium; RV: Right ventricle; LV: Left ventricle. IVS: Interventricular septum. Left ventricle is connecting to the aorta through a narrowed region which is the left ventricular outflow tract (LVOT – not labeled). Part of the blue arrow pointing to the aortic valve is through the LVOT. Aortic leaflets are seen as negative shadows within the contrast filled aorta. Since it is not a true cross sectional image of the aorta, the aortic leaflets take an inverted T pattern. In a true cross section it would be seen as a tri-radiate pattern. Interventricular septum (IVS) is also seen as a negative shadow between contrast filled right and left ventricular cavities. In this image it can be appreciated that the right ventricle (RV) is an anterior chamber placed substernaly while the left ventricle (LV) has a more posterior location. Contrast density is more on the left sided chambers as it is a delayed image after the intravenous contrast injection.