Simple Congenital Heart Lesions

Wald, Rachel M.; Powell, A.

doi:10.1080/10976640600721510

Cited by 35 publications

(10 citation statements)

References 51 publications

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“…84–86 Flow through the AoV represents Qs when there is an intracardiac left to right shunt, but Qp when the shunt is through a PDA, with the inverse applying to flow in the pulmonary trunk. 43 …”

Section: Specific Indicationsmentioning

confidence: 99%

Recommendations for cardiovascular magnetic resonance in adults with congenital heart disease from the respective working groups of the European Society of Cardiology

Kilner

Geva

Kaemmerer³

et al. 2010

European Heart Journal

387

223

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This paper aims to provide information and explanations regarding the clinically relevant options, strengths, and limitations of cardiovascular magnetic resonance (CMR) in relation to adults with congenital heart disease (CHD). Cardiovascular magnetic resonance can provide assessments of anatomical connections, biventricular function, myocardial viability, measurements of flow, angiography, and more, without ionizing radiation. It should be regarded as a necessary facility in a centre specializing in the care of adults with CHD. Also, those using CMR to investigate acquired heart disease should be able to recognize and evaluate previously unsuspected CHD such as septal defects, anomalously connected pulmonary veins, or double-chambered right ventricle. To realize its full potential and to avoid pitfalls, however, CMR of CHD requires training and experience. Appropriate pathophysiological understanding is needed to evaluate cardiovascular function after surgery for tetralogy of Fallot, transposition of the great arteries, and after Fontan operations. For these and other complex CHD, CMR should be undertaken by specialists committed to long-term collaboration with the clinicians and surgeons managing the patients. We provide a table of CMR acquisition protocols in relation to CHD categories as a guide towards appropriate use of this uniquely versatile imaging modality.

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Section: Specific Indicationsmentioning

confidence: 99%

Recommendations for cardiovascular magnetic resonance in adults with congenital heart disease from the respective working groups of the European Society of Cardiology

Kilner

Geva

Kaemmerer³

et al. 2010

European Heart Journal

387

223

View full text Add to dashboard Cite

show abstract

“…MRI can also help to clarify the nature of the lesion, the amount of shunting [55], and biventricular size and function, and can detect associated anomalies, notably the possibility of anomalous pulmonary venous drainage [56][57][58]. Ascending aortic flow measured by MRI represents systemic flow (Q s ) when there is an intracardiac left-toright shunt.…”

Section: Shunts: Asd Vsd or Pdamentioning

confidence: 99%

Imaging congenital heart disease in adults

Kilner¹

2011

BJR

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ABSTRACT. Transthoracic echocardiography is the first-line modality for cardiovascular imaging in adults with congenital heart disease (ACHD). The windows of access that are possible with transthoracic echocardiography are, however, rarely adequate for all regions of interest. The choice of further imaging depends on the clinical questions that remain to be addressed. The strengths of MRI include comprehensive access and coverage, providing imaging of all parts of the right ventricle, the pulmonary arteries, pulmonary veins and aorta. Cine images and velocity maps are acquired in specifically aligned planes, with stacks of cines or dynamic contrast angiography providing more comprehensive coverage. Tissues can be characterised if necessary, and MRI provides relatively accurate measurements of biventricular function and volume flow. These parameters are important in the assessment and follow-up of adults after repairs for tetralogy of Fallot or transposition of the great arteries and after Fontan operations. The superior spatial resolution and rapid acquisition of CT are invaluable in selected situations, including the visualisation of anomalous coronary or aortopulmonary collateral arteries, the assessment of luminal patency after stenting and imaging in patients with pacemakers. Ionising radiation is, however, a concern in younger patients who may need repeated investigation. Adults with relatively complex conditions should ideally be imaged in a specialist ACHD centre, where dedicated echocardiographic and cardiovascular MRI services are a necessary facility. General radiologists should be aware of the nature and pathophysiology of congenital heart disease, and should be alert for previously undiagnosed cases presenting in adulthood, including cases of atrial septal defect, aortic coarctation, patent ductus arteriosus, double-chambered right ventricle and congenitally corrected transposition.

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“…When PC-CMR is called upon to evaluate a VSD, it is usually in the context of complex anatomy beyond the simple muscular, restrictive VSD that produces no hemodynamic effect. As with ASDs, Qp:Qs measurement with PC-CMR that can be compared to short axis cine-derived left and right ventricular stroke volumes [ 168 ] provides a useful parameter for clinical management.…”

Section: Clinical Applicationsmentioning

confidence: 99%

Cardiovascular magnetic resonance phase contrast imaging

Nayak

Nielsen

Bernstein

et al. 2015

Journal of Cardiovascular Magnetic Resonance

211

163

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Cardiovascular magnetic resonance (CMR) phase contrast imaging has undergone a wide range of changes with the development and availability of improved calibration procedures, visualization tools, and analysis methods. This article provides a comprehensive review of the current state-of-the-art in CMR phase contrast imaging methodology, clinical applications including summaries of past clinical performance, and emerging research and clinical applications that utilize today’s latest technology.Electronic supplementary materialThe online version of this article (doi:10.1186/s12968-015-0172-7) contains supplementary material, which is available to authorized users.

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Simple Congenital Heart Lesions

Cited by 35 publications

References 51 publications

Recommendations for cardiovascular magnetic resonance in adults with congenital heart disease from the respective working groups of the European Society of Cardiology

Recommendations for cardiovascular magnetic resonance in adults with congenital heart disease from the respective working groups of the European Society of Cardiology

Imaging congenital heart disease in adults

Cardiovascular magnetic resonance phase contrast imaging

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