Tomografia computadorizada na avaliação tardia do tratamento cirúrgico da conexão anômala total de veias pulmonares

Croti, Ulisses Alexandre; Beani, Lilian; Moscardini, Aírton Camacho; Júnior, Arthur Soares Souza; Souza, Antônio Soares; Sobrinho, Sírio Hassem; Marchi, Carlos Henrique; Godoy, Moacir Fernandes de; Braile, Domingo Marcolino

doi:10.5935/1678-9741.20110042

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…The echocardiogram performed by an experienced professional was fundamental to identify one of the pulmonary veins connecting anomalously to the brachiocephalic vein and not to the left atrium, which was confirmed by angiography (Figure 3). Computed tomography angiography is the gold standard for the diagnosis of PAPVC and can also evaluate postoperative complications, as demonstrated by Croti et al [6] .…”

Section: Diagnosismentioning

confidence: 99%

Rare Association Between Atrioventricular Septal Defect and Partial Anomalous Pulmonary Venous Connection

Murakami¹,

Baston²,

Cardoso³

et al. 2019

Braz J Cardiovasc Surg

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Clinical dataInfant, 7 months, female, referred to our department at one month of age, suspecting of congenital heart disease for further investigation.Chest radiographyDemonstrates cardiomegaly and prominent pulmonary vascular markings.ElectrocardiographyShows right ventricular hypertrophy and left anterior fascicular block.EchocardiographyEvidenced common atrioventricular valve with two orifices and the left superior pulmonary vein draining on the brachiocephalic vein.Computed tomography angiographyThis complementary imaging exam was performed to confirm the diagnosis.DiagnosisThe patient presented an association between AVSD and PAPVC, a rare combination. The clinical picture of heart failure was preponderant, characterized by need for diuretics and complementary exams findings, and early surgical treatment was indicated.OperationThe operation was performed through a median sternotomy with 123 minutes of cardiopulmonary bypass and 89 minutes of cross-clamping time. The patient had no postoperative complications, remaining 10 days hospitalized.

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Section: Diagnosismentioning

confidence: 99%

Rare Association Between Atrioventricular Septal Defect and Partial Anomalous Pulmonary Venous Connection

Murakami¹,

Baston²,

Cardoso³

et al. 2019

Braz J Cardiovasc Surg

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An Overview of Cardiac Computed Tomography in Adults With Congenital Heart Disease

Surányi

Varga-Szemes²,

Hlavacek³

2017

Journal of Thoracic Imaging

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Familiarity with congenital heart disease (CHD) and its manifestations in adults is becoming increasingly important for the practicing cardiothoracic imager. The use of computed tomographic angiography is becoming commonplace not only in adults with a history and subsequent interventions for CHD as a child but also in de novo detection of-typically-milder, survivable forms of CHD, which are clinically suspected because of declining cardiac performance, cardiac events, or murmurs. Occasionally, adult CHD (ACHD) is found incidentally on scans performed for other indications (eg, trauma or neoplasm staging) because of improvements in computed tomographic technology and advanced visualization. A growing number of patients with CHD survive into adulthood and lead essentially normal lives all over the world and may present in community hospitals and emergency rooms to receive care. Advancements in computed tomographic angiography technology have further allowed us to individually tailor cardiovascular scans according to the patient's anatomy and specifically for the clinical question raised, aiming at reduced exposure to iodinated contrast and radiation dose, while obtaining diagnostic-quality images. This task, however, is not simple. There is no one-size-fits-all cardiac scan that serves as a one-stop shop for ACHD patients. Careful planning and patient preparation, close supervision of the scan, sophisticated postprocessing, and interdisciplinary interpretation of the findings are all required ingredients for managing patients with ACHD. In this review we highlight the technical principles that should be observed to optimize imaging in ACHD. We also provide practical insight into how specific clinical questions can be answered utilizing this technology in the most frequently encountered forms of ACHD.

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Computed Tomography Pulmonary Angiography in Evaluation of Congenital Heart Diseases

Dwivedi¹,

Kumar²,

Tripathi³

2014

J Cardiovasc. Dis. Res

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Congenital heart disease (CHD) still accounts for significant morbidity and mortality, despite major advances in diagnosis and management. A significant proportion of CHD is still undiagnosed at birth emphasizing the need for a detailed history and meticulous clinical examination. CHD is common and early detection and comprehensive functional and physiological evaluation is very important. Usually echocardiography is the initial diagnostic modality for patients with suspected CHD; in some patients this modality can be limited in its ability to delineate great artery and intracardiac anomalies, pulmonary veins, and coronary arteries. Magnetic resonance imaging is an excellent tool due to its non-ionizing nature and exquisite anatomic and functional capabilities. Computed tomography (CT) pulmonary angiography can be used to assess complex cardiovascular anatomic features both before and after surgery and of a variety of post-treatment complications. In CHD it is very important to have extensive knowledge of cardiovascular anatomy, physiology, and surgical techniques. Recent developments in CT technology primarily by reducing the cardiac motion and the radiation dose usage in CHD evaluation have helped expand the indications for CT usage. It has become a very useful complementary tool to guide the proper medical and surgical management. The purpose of the article is to review the role of CT pulmonary angiography in the evaluation of congenital cardiovascular disease with emphasis on its type, nature and anatomic details.

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Tomografia computadorizada na avaliação tardia do tratamento cirúrgico da conexão anômala total de veias pulmonares

Cited by 3 publications

References 19 publications

Rare Association Between Atrioventricular Septal Defect and Partial Anomalous Pulmonary Venous Connection

Rare Association Between Atrioventricular Septal Defect and Partial Anomalous Pulmonary Venous Connection

An Overview of Cardiac Computed Tomography in Adults With Congenital Heart Disease

Computed Tomography Pulmonary Angiography in Evaluation of Congenital Heart Diseases

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