Visualization of a Small Ventricular Septal Defect at First-pass Contrast-enhanced Cardiac Magnetic Resonance Imaging

Abstract

Ventricular septal defect (VSD) is a congenital heart disease that accounts for up to 40% of all congenital cardiac malformations. VSD is a connection between right and left ventricle, through the ventricular septum. Echocardiography and magnetic resonance imaging (MRI) help identify this entity. This case presents a 12-year-old male diagnosed with a small muscular apical VSD of 3 mm in diameter, at echocardiography. Cardiac MRI using first-pass perfusion sequence, combining the right plane of acquisition with a short bolus of contrast material, clearly confirmed the presence of VSD.

Insights Gained From Three-Dimensional Imaging Modalities for Closure of Ventricular Septal Defects

“…[39][40][41][42] CMR remains expensive and has a requirement for sedation or anesthesia in younger patients. Furthermore, it is contraindicated in patients with metallic implants.…”