Selective angiogram of the LIMA anastomosed to the LAD, showing collateralization (Rentrop grade 1) of the RCA postero-lateral branches through septal perforator arteries

ASVIDE ◽  
2017 ◽  
Vol 4 ◽  
pp. 10-10
Author(s):  
Quentin de Hemptinne ◽  
Fabien Picard ◽  
Philippe L. L’Allier
Keyword(s):  
Lateral Branches ◽  
Septal Perforator ◽  
Perforator Arteries

scholarly journals What is the mid-wall linear high intensity “lesion” on cardiovascular magnetic resonance late gadolinium enhancement?

2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Masashi Nakamura ◽  
Tomoyuki Kido ◽  
Kuniaki Hirai ◽  
Kohei Tabo ◽  
Yuki Tanabe ◽  
...  
Keyword(s):  
Cardiovascular Magnetic Resonance ◽  
Late Gadolinium Enhancement ◽  
Magnetic Resonance ◽  
High Intensity ◽  
Short Axis ◽  
Gadolinium Enhancement ◽  
Anatomic Structure ◽  
Basal Septum ◽  
Septal Perforator ◽  
Perforator Arteries

Abstract Background Cardiovascular magnetic resonance (CMR) late gadolinium enhancement (LGE) is a valuable technique for detecting myocardial disorders and fibrosis. However, we sometimes observe a linear, mid-wall high intensity signal in the basal septum in the short axis view, which often presents diagnostic difficulties in the clinical setting. The purpose of this study was to compare the linear, mid-wall high intensity in the basal septum identified by LGE with the anterior septal perforator arteries identified by coronary computed tomography angiography (CorCTA). Methods We retrospectively selected 148 patients who underwent both CorCTA and CMR LGE within 1 year. In the interpretation of LGE, we defined a positive linear high intensity (LHI+) as follows: ① LHI in the basal septum and ② observable for 1.5 cm or more. All other patients were defined as a negative LHI (LHI-). In LHI+ patients, we assessed the correlation between the LHI length and the septal perforator artery length on CorCTA. We also compared the length of the septal perforator artery on CorCTA between LHI+ patients and LHI- patients. Results A population of 111 patients were used for further analysis. Among these , there were 55 LHI+ patients and 56 LHI- patients. In LHI+ patients, linear regression analysis revealed that there was a good agreement between LGE LHI and septal perforator arteries by CorCTA in terms of length measurements. The measured length of the anterior septal perforator arteries was significantly shorter in LHI- patients than in LHI+ patients (10 ± 8 mm vs. 21 ± 8 mm; P < 0.05). Conclusions The LHI observed in the basal septum on short axis LGE may reflect contrast enhancement of the anterior septal perforator arteries. It is important to interpret this septal LHI against knowledge of anatomic structure, to avoid misinterpretations of LGE and prevent misdiagnosis.

Coronary angioplasty of septal perforator arteries

1991 ◽  
Vol 23 (3) ◽  
pp. 223-224 ◽  
Author(s):  
Reuben Ilia ◽  
Oded Eisenberg ◽  
Moshe Gueron
Keyword(s):  
Coronary Angioplasty ◽  
Septal Perforator ◽  
Perforator Arteries

Application of coronary angioplasty to the septal perforator arteries

1991 ◽  
Vol 22 (1) ◽  
pp. 7-13 ◽  
Author(s):  
On Topaz ◽  
Germano Disciascio ◽  
George W. Vetrovec ◽  
Evelyne Goudreau ◽  
Nagui Sabri ◽  
...  
Keyword(s):  
Coronary Angioplasty ◽  
Septal Perforator ◽  
Perforator Arteries

scholarly journals Correction to: The SlTCP26 promoting lateral branches development in tomato

2021 ◽  
Author(s):  
Xiaoying Wei ◽  
Jun Yang ◽  
Dou Lei ◽  
Hao Feng ◽  
Zhenan Yang ◽  
...  
Keyword(s):  
Lateral Branches

Morphometrics of the aerial roots of Kingia australis (Liliales)

1981 ◽  
Vol 29 (1) ◽  
pp. 81 ◽  
Author(s):  
B Lamont
Keyword(s):  
Fire History ◽  
Dead Zone ◽  
Dry Weight ◽  
Root Primordia ◽  
Stem Apex ◽  
Primary Roots ◽  
Aerial Roots ◽  
History Of ◽  
Lateral Branches ◽  
Potential Height

Kingia australis, common in the heaths and forests of south-western Australia, is distinguished from all other grass trees in Australia by the presence of a mantle of concealed aerial roots. A ring of up to 50 root primordia is initiated in winter from the stem apex. In plants more than 1 m high, initiation and commencement of elongation of the primary roots are no longer annual but dependent on the fire history of the plant. These roots descend between the stem and persistent leaf bases at about 2 cm per growing month, sending many lateral branches among the leaf bases. Aerial roots gradually replace the space occupied by the leaf bases until they may account for 45% of the dry weight of the aerial caudex. The caudex of one 6-m-high specimen bore up to 27 roots per cm2 transection of the root mantle, with about 3000 primary roots entering the soil. All underground primary roots (except the initial contractile roots) have an aerial origin and are concentrated vertically under the canopy. After 300-400 years the stem starts to die back from the base, and the aerial roots attached to that portion disintegrate. By propping up the stem and bridging the dead zone of the stem, the living aerial roots greatly extend the potential height and longevity of the plant. In addition, the hairy laterals are ideally located to absorb water and nutrients directly from the leaf bases. Protective and aerating functions are also indicated.

Recognition of acute myocardial infarction caused by spontaneous coronary artery dissection of first septal perforator

2021 ◽  
Author(s):  
Scott W Sharkey ◽  
Mesfer Alfadhel ◽  
Christina Thaler ◽  
David Lin ◽  
Meagan Nowariak ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Artery ◽  
Invasive Coronary Angiography ◽  
Acute Chest Pain ◽  
Vancouver General Hospital ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Septal Perforator

Abstract Aims  Spontaneous coronary artery dissection (SCAD) diagnosis is challenging as angiographic findings are often subtle and differ from coronary atherosclerosis. Herein, we describe characteristics of patients with acute myocardial infarction (MI) caused by first septal perforator (S1) SCAD. Methods and results  Patients were gathered from SCAD registries at Minneapolis Heart Institute and Vancouver General Hospital. First septal perforator SCAD prevalence was 11 of 1490 (0.7%). Among 11 patients, age range was 38–64 years, 9 (82%) were female. Each presented with acute chest pain, troponin elevation, and non-ST-elevation MI diagnosis. Initial electrocardiogram demonstrated ischaemia in 5 (45%); septal wall motion abnormality was present in 4 (36%). Angiographic type 2 SCAD was present in 7 (64%) patients with S1 TIMI 3 flow in 7 (64%) and TIMI 0 flow in 2 (18%). Initial angiographic interpretation failed to recognize S1-SCAD in 6 (55%) patients (no culprit, n = 5, septal embolism, n = 1). First septal perforator SCAD diagnosis was established by review of initial coronary angiogram consequent to cardiovascular magnetic resonance (CMR) demonstrating focal septal late gadolinium enhancement with corresponding oedema (n = 3), occurrence of subsequent SCAD event (n = 2), or second angiogram showing healed S1-SCAD (n = 1). Patients were treated conservatively, each with ejection fraction &gt;50%. Conclusion  First septal perforator SCAD events may be overlooked at initial angiography and mis-diagnosed as ‘no culprit’ MI. First septal perforator SCAD prevalence is likely greater than reported herein and dependent on local expertise and availability of CMR imaging. Spontaneous coronary artery dissection events may occur in intra-myocardial coronary arteries, approaching the resolution limits of invasive coronary angiography.

Panicle, spikelet, and floret development in orchardgrass (Dactylis glomerata)

1993 ◽  
Vol 71 (4) ◽  
pp. 523-532 ◽  
Author(s):  
Joanna Fraser ◽  
Eric G. Kokko
Keyword(s):  
Electron Microscopy ◽  
Scanning Electron Microscopy ◽  
Unique Feature ◽  
Dactylis Glomerata ◽  
Bilateral Symmetry ◽  
Second Order ◽  
Third Order ◽  
First Order ◽  
Lateral Branches ◽  
Scanning Electron

The initial stages of panicle, spikelet, and floret development in field-grown 'Kay' orchardgrass were examined using scanning electron microscopy. Spikelets arose from a complex multilevelled sequence of initiation from branch apices. Spikelets developed indirectly in a two-tiered progression: (i) an acropetal and basipetal sequence of first order, second-order, and third-order inflorescence apices, and (ii) an acropetal development within subclusters of higher-order lateral branch inflorescence apices. The panicle had the unique feature of dorsiventrality as well as bilateral symmetry. The basal apex from first-order, second-order, or third-order apices developed on the same side of the main axis as the first-order apex. The two glumes subtending each spikelet primordium developed alternately and acropetally. Development and initiation of florets within spikelets was basipetal within the panicle, basipetal within clusters and subclusters of spikelets on lateral branches, and acropetal within spikelets. Within florets, paleas developed later than lemmas. Key words: Dactylis glomerata, cocksfoot, scanning electron microscopy, development, panicle.

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