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Zucker EJ. Cardiac Computed Tomography in Congenital Heart Disease. Radiol Clin North Am 2024; 62:435-452. [PMID: 38553179 DOI: 10.1016/j.rcl.2023.12.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/02/2024]
Abstract
Computed tomography (CT) has emerged as a leading imaging modality in the evaluation of congenital heart disease (CHD). With ever-faster acquisition speed, decreasing radiation exposure, impeccable anatomic detail, optional functional data, and numerous post-processing tools, CT offers broad utility in CHD diagnosis, preoperative planning, and postoperative assessment. In this article, the far-reaching role of CT in CHD is reviewed, focusing on technical imaging considerations and key clinical applications.
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Affiliation(s)
- Evan J Zucker
- Department of Radiology, Divisions of Pediatric and Cardiovascular Imaging, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
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2
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Salciccioli KB, Zachariah JP. Coarctation of the Aorta: Modern Paradigms Across the Lifespan. Hypertension 2023; 80:1970-1979. [PMID: 37476999 PMCID: PMC10530495 DOI: 10.1161/hypertensionaha.123.19454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/22/2023]
Abstract
While coarctation of the aorta varies greatly in both severity and age at presentation, all patients are at increased risk of hypertension both before and after repair. Despite advances in knowledge about genetic etiologies, pathophysiologic mechanisms, and optimal repair strategies, patients with repaired coarctation of the aorta remain at increased risk of acquired cardiovascular disease. The aims of this review are to describe the management of coarctation of the aorta at all ages before and after repair, highlight pathophysiologic mechanisms of hypertension, and review long-term follow-up considerations.
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Affiliation(s)
- Katherine B Salciccioli
- Section of Pediatric Cardiology, Departments of Internal Medicine and Pediatrics, Baylor College of Medicine, Texas Children’s Hospital, Houston TX USA
| | - Justin P Zachariah
- Section of Pediatric Cardiology, Department of Pediatrics, Baylor College of Medicine, Texas Children’s Hospital, Houston TX USA
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Semalti K, Sharma V, Kumar V, Aneja S, Simalti AK, Malik A. Dual phase multidetector computed tomography angiography in evaluation of pulmonary arteries and collateral vessels in children with cyanotic congenital heart diseases. Med J Armed Forces India 2022. [DOI: 10.1016/j.mjafi.2022.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
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4
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Pediatric Cardiac CT and MRI: Considerations for the General Radiologist. AJR Am J Roentgenol 2020; 215:1464-1473. [PMID: 33084361 DOI: 10.2214/ajr.19.22745] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
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5
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Ali SA, Amin DH, Khattab RT. Intermodality agreement between TTE and low kVp ECG-gated MDCTA in diagnosis of complex CHD in pediatrics. THE EGYPTIAN JOURNAL OF RADIOLOGY AND NUCLEAR MEDICINE 2020. [DOI: 10.1186/s43055-020-00217-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Transthoracic echocardiography (TTE) is considered the primary diagnostic modality in congenital heart disease (CHD). However, it has limited role in evaluation of extra-cardiac major vessels abnormalities. Cardiac catheterization angiography is considered the gold standard investigation, yet, it is invasive. The aim of this study is to evaluate the agreement between TTE and low kVp ECG-gated cardiac multi-detector CT angiography (MDCTA) in detecting cardiac and extra-cardiac findings of complex congenital heart disease in a sample size of 36 patients (19 males and 17 females) with an age ranged between 30 days and 12 years (mean age 25.5 months). All cases were diagnosed to have complex CHD clinically and by TTE then referred to undergo cardiac low kVp ECG-gated MDCTA to confirm diagnosis and for better assessment of extra-cardiac major vessels abnormalities. Data derived from both modalities were then compared to calculate the inter-technique variability by using Cohen’s kappa statistics.
Results
TTE diagnosed 96% of intra-cardiac anomalies and only 54% of extra-cardiac major vessels anomalies detected by MDCTA, with variable degrees of intermodality agreement in detection different anomalies ranging between perfect agreement in diagnosing most of intra-cardiac lesions and very poor agreement in diagnosing extra-cardiac SVC anomalies.
Conclusion
Low kVp ECG-gated cardiac MDCTA is a rapid, non-invasive and reliable diagnostic modality in complex congenital heart diseases. It confirms TTE findings in intra-cardiac anomalies and significantly surpasses TTE reliability in diagnosis of extra-cardiac major vessels anomalies. So, it is indispensable as part of adequate preoperative assessment algorithm in cases of complex CHD and can't be replaced by TTE even with the later providing accurate assessment of intra-cardiac anomalies.
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Ojha V, Ganga KP, Kumar S. Computed tomography imaging of complications in postoperative cyanotic congenital heart diseases - A pictorial essay. Clin Imaging 2020; 71:1-12. [PMID: 33166896 DOI: 10.1016/j.clinimag.2020.10.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Revised: 09/06/2020] [Accepted: 10/07/2020] [Indexed: 10/23/2022]
Abstract
Cross-sectional imaging plays an essential role in the diagnosis and management of various structural and functional changes that occur in the postoperative period after palliative or corrective surgical procedures performed for congenital heart diseases (CHD). Although echocardiography is the mainstay for the evaluation of CHD, it is limited by poor acoustic window post-surgery in addition to being operator dependent. Computed tomography (CT) allows for the comprehensive evaluation of the post-surgical anatomy and complications after repair for cyanotic CHD. Radiologists and cardiac imagers should be familiar with these expected changes after surgeries performed for various cyanotic CHDs, to obtain diagnostic quality cardiac CT images and to promptly recognise the abnormal post-operative appearances in this patient population. In this review, we describe the various CT features of complications that can be encountered after repair of cyanotic CHDs.
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Affiliation(s)
- Vineeta Ojha
- Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi 110029, India
| | - Kartik P Ganga
- Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi 110029, India
| | - Sanjeev Kumar
- Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi 110029, India.
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Shmukler A, Haramati A, Haramati LB. Overview of Common Surgical Procedures in CHD. Semin Roentgenol 2020; 55:264-278. [PMID: 32859343 DOI: 10.1053/j.ro.2020.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Anna Shmukler
- Department of Radiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY..
| | - Adina Haramati
- Department of Radiology, Northwell Health, Manhasset, NY
| | - Linda B Haramati
- Department of Radiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.; Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY
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Zucker EJ. Cross-sectional imaging of congenital pulmonary artery anomalies. Int J Cardiovasc Imaging 2019; 35:1535-1548. [PMID: 31175525 DOI: 10.1007/s10554-019-01643-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Accepted: 05/31/2019] [Indexed: 02/06/2023]
Abstract
Congenital pulmonary artery (PA) anomalies comprise a rare and heterogeneous spectrum of disease, ranging from abnormal origins to complete atresia. They may present in early infancy or more insidiously in adulthood, often in association with congenital heart disease such as tetralogy of Fallot or other syndromes. In recent years, cross-sectional imaging, including computed tomography (CT) and magnetic resonance imaging (MRI), has become widely utilized for the noninvasive assessment of congenital PA diseases, supplementing echocardiography and at times supplanting invasive angiography. In this article, modern CT and MRI techniques for imaging congenital PA disorders are summarized. The key clinical features, cross-sectional imaging findings, and treatment options for the most commonly encountered entities are then reviewed. Emphasis is placed on the ever-growing role of cross-sectional imaging options in facilitating early and accurate diagnosis and tailored treatment.
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Affiliation(s)
- Evan J Zucker
- Department of Radiology, Stanford University School of Medicine, 725 Welch Road, Stanford, CA, 94305, USA.
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Hrusca A, Rachisan A, Gach P, Pico H, Sorensen C, Bonello B, Ovaert C, Petit P, Fouilloux V, Mace L, Gorincour G. Detection of pulmonary and coronary artery anomalies in tetralogy of Fallot using non-ECG-gated CT angiography. Diagn Interv Imaging 2016; 97:543-8. [DOI: 10.1016/j.diii.2016.03.010] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2015] [Accepted: 03/31/2016] [Indexed: 11/28/2022]
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Vaujois L, Gorincour G, Alison M, Déry J, Poirier N, Lapierre C. Imaging of postoperative tetralogy of Fallot repair. Diagn Interv Imaging 2016; 97:549-60. [PMID: 26993966 DOI: 10.1016/j.diii.2016.02.007] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2015] [Revised: 02/04/2016] [Accepted: 02/09/2016] [Indexed: 10/22/2022]
Abstract
Over the last years, the surgical techniques used to repair Tetralogy of Fallot as well as the cross-sectional cardiac imaging techniques have substantially improved. Now, the survival rate after surgical repair is more than 90% at 40 years old. A follow-up is needed and the imaging evaluation should be guided by the surgical techniques used. This article reviews the most common surgical procedures for a complete repair, the associated anatomic and hemodynamic complications and the role of cardiac imaging, mainly magnetic resonance imaging.
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Affiliation(s)
- L Vaujois
- CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, Montréal, QC H3T 1C5, Canada
| | - G Gorincour
- CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, Montréal, QC H3T 1C5, Canada
| | - M Alison
- CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, Montréal, QC H3T 1C5, Canada
| | - J Déry
- CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, Montréal, QC H3T 1C5, Canada
| | - N Poirier
- CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, Montréal, QC H3T 1C5, Canada
| | - C Lapierre
- CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, Montréal, QC H3T 1C5, Canada.
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3D MDCT angiography for the preoperative assessment of truncus arteriosus. Clin Imaging 2015; 39:938-44. [DOI: 10.1016/j.clinimag.2015.07.019] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2015] [Revised: 07/07/2015] [Accepted: 07/08/2015] [Indexed: 11/22/2022]
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Hoey ETD, Lewis G, Yusuf S. Multidetector CT assessment of partial anomalous pulmonary venous return in association with sinus venosus type atrial septal defect. Quant Imaging Med Surg 2014; 4:433-4. [PMID: 25392829 DOI: 10.3978/j.issn.2223-4292.2014.07.08] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2014] [Accepted: 07/03/2014] [Indexed: 11/14/2022]
Abstract
Sinus venosus defects account for 15% of all atrial septal defects. They are frequently associated with partial anomalous pulmonary venous drainage of the right superior pulmonary vein into the superior vena cava (SVC). These defects require surgical correction and accurate pre-operative imaging assessment is critical. We present a case of sinus venosus atrial septal defect in which multidetector computed tomography (MDCT) angiography identified separate sites of pulmonary venous return.
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Affiliation(s)
- Edward T D Hoey
- 1 Department of Radiology, 2 Department of Cardiology, Heart of England NHS Trust, Birmingham, UK
| | - Gareth Lewis
- 1 Department of Radiology, 2 Department of Cardiology, Heart of England NHS Trust, Birmingham, UK
| | - Shamil Yusuf
- 1 Department of Radiology, 2 Department of Cardiology, Heart of England NHS Trust, Birmingham, UK
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Ji X, Zhao B, Cheng Z, Si B, Wang Z, Duan Y, Nie P, Li H, Yang S, Jiao H, Wang X. Low-dose prospectively electrocardiogram-gated axial dual-source CT angiography in patients with pulsatile bilateral bidirectional Glenn Shunt: an alternative noninvasive method for postoperative morphological estimation. PLoS One 2014; 9:e94425. [PMID: 24736546 PMCID: PMC3988061 DOI: 10.1371/journal.pone.0094425] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2013] [Accepted: 03/16/2014] [Indexed: 01/02/2023] Open
Abstract
OBJECTIVE To explore the clinical value of low-dose prospectively electrocardiogram-gated axial dual-source CT angiography (low-dose PGA scanning, CTA) in patients with pulsatile bilateral bidirectional Glenn shunt (bBDG) as an alternative noninvasive method for postoperative morphological estimation. METHODS Twenty patients with pulsatile bBDG (mean age 4.2±1.6 years) underwent both low-dose PGA scanning and conventional cardiac angiography (CCA) for the morphological changes. The morphological evaluation included the anatomy of superior vena cava (SVC) and pulmonary artery (PA), the anastomotic location, thrombosis, aorto-pulmonary collateral circulation, pulmonary arteriovenous malformations, etc. Objective and subjective image quality was assessed. Bland-Altman analysis and linear regression analyses were used to evaluate the correlation on measurements between CTA and CCA. Effective radiation dose of both modalities was calculated. RESULTS The CT attenuation value of bilateral SVC and PA was higher than 300 HU. The average subjective image quality score was 4.05±0.69. The morphology of bilateral SVC and PA was displayed completely and intuitively by CTA images. There were 24 SVC above PA and 15 SVC beside PA. Thrombosis was found in 1 patient. Collateral vessels were detected in 13 patients. No pulmonary arteriovenous malformation was found in our study. A strong correlation (R2>0.8, P<0.001) was observed between the measurements on CTA images and on CCA images. Bland-Altman analysis demonstrated a systematic overestimation of the measurements by CTA (the mean value of bias>0).The mean effective dose of CTA and CCA was 0.50±0.17 mSv and 4.85±1.34 mSv respectively. CONCLUSION CT angiography with a low-dose PGA scanning is an accurate and reliable noninvasive examination in the assessment of morphological changes in patients with pulsatile bBDG.
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Affiliation(s)
- Xiaopeng Ji
- Shandong Medical Imaging Research Institute, Shandong University, Jinan, People's Republic of China
| | - Bin Zhao
- Shandong Medical Imaging Research Institute, Shandong University, Jinan, People's Republic of China
| | - Zhaoping Cheng
- Shandong Medical Imaging Research Institute, Shandong University, Jinan, People's Republic of China
| | - Biao Si
- Cardiovascular Institute of Jinan Military district, Jinan, People's Republic of China
| | - Zhiheng Wang
- Cardiovascular Institute of Jinan Military district, Jinan, People's Republic of China
| | - Yanhua Duan
- Shandong Medical Imaging Research Institute, Shandong University, Jinan, People's Republic of China
| | - Pei Nie
- Shandong Medical Imaging Research Institute, Shandong University, Jinan, People's Republic of China
| | - Haiou Li
- Shandong Medical Imaging Research Institute, Shandong University, Jinan, People's Republic of China
| | - Shifeng Yang
- Shandong Medical Imaging Research Institute, Shandong University, Jinan, People's Republic of China
| | - Hui Jiao
- Shandong Medical Imaging Research Institute, Shandong University, Jinan, People's Republic of China
| | - Ximing Wang
- Shandong Medical Imaging Research Institute, Shandong University, Jinan, People's Republic of China
- * E-mail:
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Harry BL, Tebockhorst S, Deleyiannis FWB. The Impact of Congenital Cardiovascular Malformations on the Assessment and Surgical Management of Infants with Cleft Lip and/or Palate. Cleft Palate Craniofac J 2013; 50:323-9. [DOI: 10.1597/12-131] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objective The purpose of this study was to assess the cardiac evaluation of cleft lip and/or palate patients, characterize their cardiovascular malformations, and determine the impact of cardiovascular malformations on surgical management. Design A single-institution retrospective study of 329 consecutive cleft patients was performed. Cardiovascular malformations were categorized according to involvement of cardiac septa, vasculature, and valves. Their impact on the need for cardiac surgery, timing of cleft repair, need for subacute bacterial endocarditis (SBE) prophylaxis, and the perioperative experience was evaluated. Results Ten percent (33/329) of cleft patients had a cardiovascular malformation, and 3% underwent cardiac surgery prior to cleft repair. Malformations of the septa, vasculature, and valves were present in 9%, 6%, and 2% of cleft infants, respectively. Murmur as a sign of structural cardiovascular disease was 79% sensitive and 97% specific. Cleft palate repair was delayed by 2 months in patients with a cardiovascular malformation ( P = .001). Subacute bacterial endocarditis prophylaxis was recommended, not recommended, or not specified by cardiology in 18%, 33%, and 48% of cleft patients with a cardiovascular malformation, respectively. Postoperative stay and surgical complications were not associated with cardiovascular malformation. Conclusions Even in the absence of a murmur, echocardiographic screening should be considered in infants with nonspecific signs of cardiovascular disease. Greater awareness of the guidelines for SBE prophylaxis is needed. Most cleft patients with a cardiovascular malformation do not require cardiac surgery and do not experience an increased rate of complications associated with cleft surgery.
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Affiliation(s)
| | | | - Frederic W.-B. Deleyiannis
- Craniofacial Microsurgery and Trauma, Departments of Surgery and Otolaryngology at the Children's Hospital Colorado and University of Colorado School of Medicine, Aurora, Colorado
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Reiter T, Ritter O, Nordbeck P, Beer M, Bauer WR. MRI-guided ablation of wide complex tachycardia in a univentricular heart. World J Cardiol 2012; 4:260-3. [PMID: 22953024 PMCID: PMC3432884 DOI: 10.4330/wjc.v4.i8.260] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2011] [Revised: 09/02/2011] [Accepted: 09/09/2011] [Indexed: 02/06/2023] Open
Abstract
Magnetic resonance imaging can be used for preprocedural assessment of complex anatomy for radiofrequency (RF) ablations, e.g., in a univentricular heart. This case report features the treatment of a young patient with a functionally univentricular heart who suffered from persistent sudden onset tachycardia with wide complexes that required RF ablation as treatment.
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Affiliation(s)
- Theresa Reiter
- Theresa Reiter, Oliver Ritter, Peter Nordbeck, Wolfgang Rudolf Bauer, Department of Internal Medicine I, University Hospital Wuerzburg, 97080 Wuerzburg, Germany
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Chowning S, Stowell D, Ponniah U. Carotid-subclavian bypass for subclavian steal syndrome following coarctation repair in infancy. Ann Pediatr Cardiol 2012; 5:207-9. [PMID: 23129918 PMCID: PMC3487217 DOI: 10.4103/0974-2069.99631] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
A 19 year old man presented with dizziness that was exacerbated while using left arm. On investigation, subclavian steal syndrome (SSS) was diagnosed. He underwent left carotid to subclavian bypass with relief of symptoms. Subclavian steal syndrome, although rare, should be considered in the differential diagnosis in patients with the history of subclavian artery manipulation in the past in proper settings.
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Affiliation(s)
- Scott Chowning
- Department of Pediatrics, 1200 N Phillips Ave, Suite 14000, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73105, USA
| | - Donald Stowell
- Department of Surgery, Section of Cardiothoracic Surgery, Williams Pavilion 2140 PO Box 26901, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73105, USA
| | - UmaKumaran Ponniah
- Department of Pediatrics, Section of Pediatric Cardiology, OU Children's Physicians Building, 1200 N Phillips Ave, Suite 3900, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73105, USA
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Sunidja AP, Prabhu SP, Lee EY, Sena L. 64-Row-MDCT Evaluation of Postoperative Congenital Heart Disease in Children: Review of Technique and Imaging Findings. Semin Roentgenol 2012; 47:66-78. [DOI: 10.1053/j.ro.2011.10.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Abstract
Cardiac multidetector computed tomography (MDCT) for congenital heart disease is a useful, rapid, and noninvasive imaging technique bridging the gaps between echocardiography, cardiac catheterization, and cardiac MRI. Fast scan speed and greater anatomic coverage, combined with flexible ECG-synchronized scans and a low radiation dose, are critical for improving the image quality of cardiac MDCT and minimizing patient risk. Current MDCT techniques can accurately evaluate extracardiac great vessels, lungs, and airways, as well as coronary arteries and intracardiac structures. Radiologists who perform cardiac MDCT in children should be familiarized with optimal cardiac computed tomography (CT) scan techniques and characteristic cardiac CT scan imaging findings.
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Affiliation(s)
- Hyun Woo Goo
- Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, South Korea.
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Wintersperger BJ, Theisen D, Reiser MF. [MRI for therapy control in patients with aortic isthmus stenosis]. Radiologe 2010; 51:23-30. [PMID: 21113572 DOI: 10.1007/s00117-010-1997-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
Aortic isthmus stenosis is the most common congenital aortic anomaly and is often a problem for therapy surveillance. In addition to possible comorbidities (e.g. bicuspid aortic valve) it is accompanied by various middle and long-term complications depending on the primary choice of the therapeutic procedure. Magnetic resonance imaging (MRI) plays an important role for the mostly young patients in the control of the aortic isthmus stenosis and therapy because it is non-invasive and there is no X-ray exposure. Radiologists should be well-informed on the principles of the therapeutic procedure in order to be competent in the interpretation of MRI findings. Due to the continuous development of MRI technology, techniques for functional evaluation (e.g. dynamic MRA, 4D PC flow measurement) are increasingly becoming available in addition to high-resolution MR angiography (MRA), which could predict the risk of possible complications, such as aneurysms. However, in this aspect further studies are necessary. Interventional therapy with stents and stent grafts is often employed for the therapy of possible complications following an operation (aneurysms, restenosis) but because of massive metal artefacts the use of MRI is often sometimes severely limited.
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Affiliation(s)
- B J Wintersperger
- Klinikum der Ludwig-Maximilians-Universität München, Campus Großhadern, München, Deutschland.
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Hughes D, Siegel MJ. MRI of complex cyanotic congenital heart disease: pre- and post surgical considerations. Int J Cardiovasc Imaging 2010; 26:333-43. [DOI: 10.1007/s10554-010-9732-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2010] [Accepted: 08/15/2010] [Indexed: 11/24/2022]
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Frank L, Dillman JR, Parish V, Mueller GC, Kazerooni EA, Bell A, Attili AK. Cardiovascular MR Imaging of Conotruncal Anomalies. Radiographics 2010; 30:1069-94. [DOI: 10.1148/rg.304095158] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Hughes D, Siegel MJ. Computed Tomography of Adult Congenital Heart Disease. Radiol Clin North Am 2010; 48:817-35. [DOI: 10.1016/j.rcl.2010.04.005] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Bogaert J, Centonze M, Vanneste R, Francone M. Cardiac and pericardial abnormalities on chest computed tomography: what can we see? Radiol Med 2010; 115:175-90. [DOI: 10.1007/s11547-010-0514-3] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2009] [Accepted: 07/13/2009] [Indexed: 11/30/2022]
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Maldonado JA, Henry T, Gutiérrez FR. Congenital Thoracic Vascular Anomalies. Radiol Clin North Am 2010; 48:85-115. [DOI: 10.1016/j.rcl.2009.09.004] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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27
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Affiliation(s)
- D P Frush
- Division of Pediatric Radiology, McGovern-Davison Children's Health Center, Durham, NC 27710, USA.
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Hoey ETD, Gopalan D, Agrawal SKB, Screaton NJ. Cardiac causes of pulmonary arterial hypertension: assessment with multidetector CT. Eur Radiol 2009; 19:2557-68. [DOI: 10.1007/s00330-009-1460-0] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2008] [Revised: 03/19/2009] [Accepted: 04/27/2009] [Indexed: 11/29/2022]
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Role of CT in the Evaluation of Congenital Cardiovascular Disease in Children. AJR Am J Roentgenol 2009; 192:1219-31. [PMID: 19380544 DOI: 10.2214/ajr.09.2382] [Citation(s) in RCA: 59] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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