Ventricular Epicardial Adipose Distribution on Human Hearts: 3-Dimensional Reconstructions and Quantitative Assessments.

Cardiac anatomy Epicardial adipose tissue Epicardial electrophysiology Epicardial pacing

Journal

Journal of cardiovascular translational research
ISSN: 1937-5395
Titre abrégé: J Cardiovasc Transl Res
Pays: United States
ID NLM: 101468585

Informations de publication

Date de publication:
16 Apr 2024
Historique:
received: 20 06 2023
accepted: 04 03 2024
medline: 16 4 2024
pubmed: 16 4 2024
entrez: 16 4 2024
Statut: aheadofprint

Résumé

Epicardial interventions have forged new frontiers in cardiac ablation and device therapies. Healthy human hearts typically present with significant adipose tissue layers superficial to the ventricular myocardium and may hinder success or increase the complexities of epicardial interventions. We quantitatively evaluated the distribution of epicardial adipose tissue on the surface of human hearts and provided high-fidelity 3-dimensional reconstructions of these epicardial adipose tissue layers. The regional thickness of adipose tissues was analyzed at 51 anatomical reference points surrounding both ventricles and compared to specific patient demographics. Adipose deposits on the human hearts displayed characteristic patterns, with the thickest accumulations along the interventricular septa (anterior, 9.01 ± 0.50 mm; posterior, 6.78 ± 0.50 mm) and the right ventricular margin (7.44 ± 0.57 mm). We provide one of the most complete characterizations of human epicardial adipose location and relative layer thickness. These results are considered fundamental for an underlying anatomic understanding when performing procedures within the pericardial space.

Identifiants

pubmed: 38625670
doi: 10.1007/s12265-024-10505-x
pii: 10.1007/s12265-024-10505-x
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Renee C Brigham (RC)

Departments of Biomedical Engineering and Surgery, University of Minnesota, Minneapolis, MN, USA.
Institute for Engineering in Medicine, University of Minnesota, Minneapolis, MN, USA.

Alexander R Mattson (AR)

Departments of Biomedical Engineering and Surgery, University of Minnesota, Minneapolis, MN, USA.
Institute for Engineering in Medicine, University of Minnesota, Minneapolis, MN, USA.
Medtronic, Minneapolis, MN, USA.

Paul A Iaizzo (PA)

Departments of Biomedical Engineering and Surgery, University of Minnesota, Minneapolis, MN, USA. iaizz001@umn.edu.
Institute for Engineering in Medicine, University of Minnesota, Minneapolis, MN, USA. iaizz001@umn.edu.

Classifications MeSH