Surgically corrected congenital heart disease: utility of 64-MDCT.

OBJECTIVE The purpose of this article is to review the CT appearance of postoperative morphology and complications after surgical correction of congenital heart anomalies. CONCLUSION Echocardiography is typically the initial imaging technique used for congenital heart disease; however, some thoracic regions are beyond the imaging scope of echocardiography, particularly after surgical revision. This article shows, through a series of illustrative cases, the usefulness of 64-MDCT in these patients.

[1]  C. Ferencz.  Transposition of the Great Vessels: Pathophysiologic Considerations Based upon a Study of the Lungs , 1966, Circulation.

[2]  A. Makaryus,et al.  Added value of CT in adult congenital heart disease , 2009 .

[3]  I. Chiu,et al.  Validation of pulmonary venous obstruction by electron beam computed tomography in children with congenital heart disease. , 2001, The American journal of cardiology.

[4]  S. Wildermuth,et al.  Pre- and postoperative evaluation of congenital heart disease in children and adults with 64-section CT. , 2007, Radiographics : a review publication of the Radiological Society of North America, Inc.

[5]  W. Helbing,et al.  Long-term results of atrial correction for transposition of the great arteries. Comparison of Mustard and Senning operations. , 1994, The Journal of thoracic and cardiovascular surgery.

[6]  H. Halperin,et al.  Clinical Utility and Safety of a Protocol for Noncardiac and Cardiac Magnetic Resonance Imaging of Patients With Permanent Pacemakers and Implantable-Cardioverter Defibrillators at 1.5 Tesla , 2006, Circulation.

[7]  M. Leval,et al.  The Fontan Circulation: What Have We Learned? What to Expect? , 1998, Pediatric Cardiology.

[8]  P. D. del Nido,et al.  Incorporation of the hepatic veins into the cavopulmonary circulation in patients with heterotaxy and pulmonary arteriovenous malformations after a Kawashima procedure. , 2005, The Annals of thoracic surgery.

[9]  S. Verma,et al.  New developments in the treatment of hypoplastic left heart syndrome. , 2007, Pediatrics.

[10]  B. Hamm,et al.  CT Coronary Angiography Using 16 and 64 Simultaneous Detector Rows: Intraindividual Comparison , 2007, RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin.

[11]  R. Rowe,et al.  Transposition of the Great Vessels , 1953, Circulation.

[12]  J. Paul,et al.  [Three-dimensional multislice CT scanner: value in patients with pulmonary atresia with septal defect]. , 2002, Archives des maladies du coeur et des vaisseaux.

[13]  S. Qureshi,et al.  Effects of modified and classic Blalock-Taussig shunts on the pulmonary arterial tree. , 1998, The Annals of thoracic surgery.

[14]  V. Baum,et al.  Pediatric cardiac surgery: an historical appreciation , 2006, Paediatric anaesthesia.

[15]  Qi Zhang,et al.  High-quality cardiac image dynamic visualization with feature enhancement and virtual surgical tool inclusion , 2009, The Visual Computer.

[16]  Marc R de Leval,et al.  The Fontan operation in clinical practice: indications and controversies , 2005, Nature clinical practice. Cardiovascular medicine.

[17]  R. Beekman,et al.  Central pulmonary artery growth patterns after the bidirectional Glenn procedure. , 1994, The Journal of thoracic and cardiovascular surgery.

[18]  M. Karçaaltıncaba,et al.  Interrupted aortic arch in a neonate: multidetector CT diagnosis , 2004, Pediatric Radiology.

[19]  F. Haas,et al.  Long-term survival and functional follow-up in patients after the arterial switch operation. , 1999, The Annals of thoracic surgery.

[20]  T. Bashore.  Adult congenital heart disease: right ventricular outflow tract lesions. , 2007, Circulation.

[21]  A. Kalyanpur,et al.  Total anomalous pulmonary venous connection: helical computed tomography as an alternative to angiography. , 2003, Indian heart journal.

[22]  H. Laks,et al.  Thirty-year follow-up of superior vena cava-pulmonary artery (Glenn) shunts. , 1990, The Journal of thoracic and cardiovascular surgery.

[23]  R. Kumar,et al.  Role of 64-MDCT in evaluation of pulmonary atresia with ventricular septal defect. , 2010, AJR. American journal of roentgenology.

[24]  T. Shih,et al.  Measurement of tracheal size in children with congenital heart disease by computed tomography. , 2004, The Annals of thoracic surgery.

[25]  A. Taylor,et al.  Optimizing imaging after coarctation stenting: The clinical utility of multidetector computer tomography , 2005, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[26]  U. Beier,et al.  NON-INVASIVE ANGIOGRAPHY Original Studies Cardiac Computed Tomography Compared to Transthoracic Echocardiography in the Management of Congenital Heart Disease , 2006 .

[27]  E. Blackstone,et al.  Intermediate outcome after Mustard and Senning procedures: A study by the Congenital Heart Surgeons Society. , 2000, Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual.

[28]  M. Leval,et al.  The Fontan operation in clinical practice: indications and controversies , 2005, Nature Clinical Practice Cardiovascular Medicine.

[29]  J. Hill,et al.  Three-dimensional helical CT of pulmonary arteries in infants and children with congenital heart disease. , 1999, AJR. American journal of roentgenology.

[30]  C. Warnes.  Transposition of the great arteries. , 2006, Circulation.

[31]  J. Dillman,et al.  Role of CT in the evaluation of congenital cardiovascular disease in children. , 2009, AJR. American journal of roentgenology.

[32]  W. Williams,et al.  The modified Blalock-Taussig shunt: clinical impact and morbidity in Fallot's tetralogy in the current era. , 1997, The Journal of thoracic and cardiovascular surgery.

[33]  J. F. Keane,et al.  Hepatic venous blood and the development of pulmonary arteriovenous malformations in congenital heart disease. , 1995, Circulation.

[34]  Wen-Jeng Lee,et al.  Usefulness of three-dimensional electron beam computed tomography for evaluating tracheobronchial anomalies in children with congenital heart disease. , 2003, The American journal of cardiology.

[35]  D. Kang,et al.  Feasibility of electron beam tomography in diagnosis of congenital heart disease: comparison with echocardiography. , 2001, European journal of radiology.