Computed tomographic angiography in tetralogy of Fallot

Kasar, Pankajkumar Ashok; Radhakrishnan, Ramalingam; Varghese, Roy; Kotecha, Monika Kantilal; Vimala, J; Kumar, Rohit

doi:10.1177/0218492311419164

Cited by 7 publications

(3 citation statements)

References 17 publications

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“…An in-depth assessment of the anatomy of the pulmonary vasculature along with other cardiac defects for the better management and correction of TOF [7]. Angiographic studies are proved to be more accurate and precise than echocardiographic studies for the assessment of pulmonary vasculature [9][10][11]. The average diameter of the MPA, RPA, and LPA in healthy children on chest computed tomography (CT) scan was reported to be 19 mm, 12.1 mm, and 12.2 mm, respectively [6].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Size of Pulmonary Artery and Its Branches on Transthoracic Echocardiography Versus Computed Tomographic Angiography in Patients with Tetralogy of Fallot

Sathio¹,

Shaikh²,

Korejo³

et al. 2020

Cureus

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Background Transthoracic echocardiography (TTE) plays a vital role in the assessment of the surgical management of patients with tetralogy of Fallot (TOF). Accurate assessment of the main pulmonary valve annulus, main pulmonary artery (MPA), and branch pulmonary arteries are crucial for decision-making regarding the surgical approach in the form of total correction. It is also important for performing a systemic-to-pulmonary artery shunt operation and affects the outcome. In some patients with poor echogenic windows, it is sometimes difficult to obtain accurate measurements. Cardiac computed tomographic angiography (CTA) can be a superior diagnostic modality. Therefore, the aim of this study was to evaluate the degree of agreement between TTE and CTA in assessing the main pulmonary valve annulus and the size of the MPA and its branches among patients with TOF patients.

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Section: Discussionmentioning

confidence: 99%

Comparison of Size of Pulmonary Artery and Its Branches on Transthoracic Echocardiography Versus Computed Tomographic Angiography in Patients with Tetralogy of Fallot

Sathio¹,

Shaikh²,

Korejo³

et al. 2020

Cureus

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“…Echocardiography with Doppler interrogation gives an accurate diagnosis of anatomy of these patients. Angiography, however, compliments the echocardiographic study as it allows more accurate evaluation of pulmonary vasculature, coronary arteries and additional ventricular septal defects (Aboulhosn 2013; Mishra et al 2014; Kasar et al 2011). There is a limited data on these variations and associations in the local population where patients usually present late in more severe form.…”

Section: Introductionmentioning

confidence: 99%

Variations of pulmonary arteries and other associated defects in Tetralogy of Fallot

Sheikh¹,

Kazmi²,

Syed³

2014

SpringerPlus

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BackgroundThe objective of study was to determine pulmonary artery variations and other associated cardiac defects in patients with Tetralogy of Fallot. This cross-sectional, descriptive study was carried out at The Children's Hospital and the Institute of Child Health, Lahore, from January 2006 to December 2012. All patients with Tetralogy of Fallot, who underwent cardiac catheterization during this period, were included. Standard cine-angiograms were done to record the pulmonary artery sizes and associated cardiac defects.DescriptionA total of 576 patients with Tetralogy of Fallot were catheterized. Pulmonary Artery abnormalities were present in 109 (18.92%) patients. The commonest abnormality was isolated Left Pulmonary Artery stenosis (n = 60, 10.4%) followed by supra-valvular stenosis (n = 9, 1.6%). Left Pulmonary Artery was absent in seven patients(1.2%), while 1 patient (0.2%) had both absent right and left Pulmonary Arteries with segmental branch pulmonary arteries originating directly from Main Pulmonary Artery. Associated cardiac lesions included right aortic arch in 72 (12.5%), additional muscular Ventricular Septal Defect in 31 (5.4%), Patent Ductus Arteriosus in 31 (5.4%), bilateral Superior Vena Cava 36(6.2%), Atrial Septal Defect 4(0.7%) and Major Aortopulmonary Collateral Arteries in 75(13%) patients. Significant coronary artery abnormalities were present in 28(4.9%) children.ConclusionPulmonary artery abnormalities were present in 18.92% of patients with Tetralogy of Fallot. Isolated Left Pulmonary Artery origin stenosis was the most common abnormality. Significant associated cardiac lesions including Patent Ductus Arteriosus , additional muscular Ventricular Septal Defect, coronary artery abnormalities, bilateral Superior Vena Cava, Atrial Septal Defect and Major Aortopulmonary Collateral Arteries were present in one-third of the patients.

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“…The clinical value of CCTA can be appreciated by considering what would have happened to patients with unexpected findings. In patients with CHD, CCTA has several advantages compared to MRI, such as the simultaneous assessment of cardiovascular abnormalities via airways, lung parenchyma, and chest wall, short anesthesia times, greater spatial resolution, wider availability and less sensitivity to metal artifacts, and can be performed in patients with pacemakers or claustrophobia [ 25 , 26 ]. Although the damage caused by ionizing radiation can lead to cancer and is directly associated with the patient’s age, no consistent cause-effect relationship has been found between the incidence of tumors and exposure to radiation for diagnostic purposes [ 27 – 29 ].…”

Section: Discussionmentioning

confidence: 99%

Role of dual source multidetector row cardiac computed tomography angiography in diagnosis and management of congenital heart disease patients

Chaosuwannakit

2017

kitp

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IntroductionPrimary evaluation of patients with congenital heart disease (CHD) traditionally relies on echocardiography and conventional cardiac angiography (CCA), both of which have potential limitations.AimTo test the hypothesis that cardiac computed tomography angiography (CCTA) is useful in the diagnosis and management of these patients.Material and methodsThe 3-year observational, analytical, retrospective, cohort study included a total of 111 tomographic studies of patients with congenital heart disease. Computed tomography scans were read twice and medical records were reviewed. The Aristotle complexity was assessed as well as and the contribution of new data in relation to clinical suspicion and diagnostic change was evaluated by two expert readers who were blinded for clinical outcome in consensus reading. The confidence interval was set at 95% and a p-value of < 0.05 was used as the cutoff for statistical significance.ResultsIn total, 111 patients were included (56 men and 55 women) with a mean age of 7.2 years (1 day–71 years). The therapeutic procedure was performed without additional tests in 85.8% of patients. New findings were observed in 60.4% of patients and a subsequent change in management in 46.9%. New unexpected findings in CCTA prompted changes in management in 86.8% of patients. There were no significant differences in age between patients with new findings vs. patients without such findings in CCTA suggesting that CCTA-supported diagnosis of CHD is independent of age.ConclusionsUse of dual-source cardiac computed tomography yields good diagnostic performance in congenital heart disease, prompts changes in management in more than one-third of patients, and reveals new findings in relation to the presumed diagnosis in most patients.

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Computed tomographic angiography in tetralogy of Fallot

Cited by 7 publications

References 17 publications

Comparison of Size of Pulmonary Artery and Its Branches on Transthoracic Echocardiography Versus Computed Tomographic Angiography in Patients with Tetralogy of Fallot

Comparison of Size of Pulmonary Artery and Its Branches on Transthoracic Echocardiography Versus Computed Tomographic Angiography in Patients with Tetralogy of Fallot

Variations of pulmonary arteries and other associated defects in Tetralogy of Fallot

Role of dual source multidetector row cardiac computed tomography angiography in diagnosis and management of congenital heart disease patients

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