Radiologic and real time echocardiographic evaluation of the cyanotic newborn.

Unger, Felix; Cavanaugh, Dennis; Johnson, Gina; Tuuri, Dwight T.; Beekman, Robert H.

doi:10.1148/radiographics.6.4.3685508

Cited by 4 publications

(2 citation statements)

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“…Computerized tomography (CT) and magnetic resonance imaging are being used more recently in diagnosing and evaluating CHD. [2][3][4][5] In neonates with suspected CHD, CT may be used instead of catheterization to obtain detailed anatomic evaluation of the heart and great vessels if echocardiography is not conclusive. We report two cases where the diagnosis of TAPVR was not confirmed by echocardiography.…”

Section: Introductionmentioning

confidence: 99%

Use of CT angiography in the diagnosis of total anomalous venous return

et al. 2009

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Total anomalous pulmonary venous return (TAPVR) is an uncommon cause of cyanotic congenital heart disease in the neonatal period. This diagnosis is often made by echocardiography. We present two cases where echocardiography was not confirmatory. Computerized tomography (CT) scan of the chest and abdomen with contrast was performed instead of cardiac catheterization to establish the diagnosis. We suggest that CT with contrast is a noninvasive modality to obtain anatomic details of pulmonary venous drainage in TAPVR when echocardiography is inconclusive.

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Section: Introductionmentioning

confidence: 99%

Use of CT angiography in the diagnosis of total anomalous venous return

et al. 2009

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“…Cardiac catheterization is an invasive procedure and may be associated with complications associated with anesthesia, bleeding from catheter site, and hematoma formation. Computerized tomography (CT) and magnetic resonance imaging are being used more recently in diagnosing and evaluating congenital heart diseases [ 11 , 12 ]. Multislice CT has a high spatial and temporal resolution and multiplanar reconstruction capabilities to characterize ASDs and pulmonary venous anomalies [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Pattern of Vascular Anomalies Associated With Sinus Venosus Atrial Septal Defect

Ali¹,

Hussain²,

Wazir³

et al. 2022

Cureus

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To evaluate children with sinus venosus atrial septal defect (SV-ASD) for associated vascular anomalies. MethodologyA total of 72 children with sinus venosus atrial septal defect with partial anomalous pulmonary venous return who presented to pediatric cardiology unit, Lady Reading Hospital Peshawar, from January 2019 till June 2021 were included in this cross-sectional study. Diagnosis of sinus venosus atrial septal defect was confirmed through two-dimensional (2D) and Doppler echocardiography performed by a pediatric cardiologist. Cardiac CT angiography was performed and assessed by a pediatric cardiac interventionist and radiologist. Patients were managed according to standard protocols and guidelines. The data were entered and analyzed with Statistical Package for the Social Sciences (SPSS) version 20. Percentages were used to express frequencies. ResultsMean age was 8.3 ± 2.7 years (interquartile range (IQR): two months to 18 years). There were 37 (51.4%) male and 35 (48.6%) female patients. Out of 72 patients, 64 (88.8%) patients had superior sinus venosus atrial septal defect, while inferior sinus venosus atrial septal defect was found in eight (11.1%) patients. In six (8.3%) patients, associated secundum atrial septal defect was identified. Bilateral superior vena cava was found in seven (9.7%) patients. Left aortic arch was seen in 70 (97.2%) patients, whereas two (2.7%) patients had right aortic arch. ConclusionSinus venosus ASD is a rare type of atrial septal defect which is also associated with both pulmonary and systemic vascular anomalies. Diagnosing these vascular anomalies is of paramount importance before any corrective intervention can be done. Recognizing the pattern of these anomalies should be known to every interventional cardiologist, radiologist, and cardiac surgeon. Echocardiography alone is not a good tool to assess these extracardiac structures. Imaging modalities like CT angiography and MRI have refined our preoperative workup which is essential for the ultimate outcome of the corrective intervention.

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