MR imaging and CT of vascular anomalies and connections in patients with congenital heart disease

Significance in surgical planning

Linda B. Haramati, Julie S. Glicksiein, Henry J. Issenberg, Nogah Haramati, Gregory A. Crooke

Research output: Contribution to journalArticle

96 Citations (Scopus)

Abstract

To plan effective management of congenital heart disease, one needs the clearest understanding of the anatomy. Although echocardiography and angiography are the dominant imaging modalities in patients with congenital heart disease, magnetic resonance (MR) imaging and computed tomography (CT) are valuable noninvasive adjuncts. MR imaging and CT are effective in demonstrating the complex cardiovascular morphology present in congenital heart disease, especially the extracardiac morphology. In patients with tetralogy of Fallot with complex pulmonary artery anatomy, MR imaging and CT are useful in demonstrating the pulmonary artery anatomy, along with the significant aortopulmonary collateral vessels. In the heterotaxy syndromes, patients often have unusual atriovenous connections. MR imaging allows accurate identification of the hepatic, systemic, and pulmonary veins and their relationships to both atria. CT and MR are the imaging modalities of choice in a patient who is thought to have a vascular ring. Treatment of aortic coarctation is usually performed on the basis of typical clinical and echocardiographic findings. In patients with atypical clinical or echocardiographic findings, MR imaging and CT yield helpful information that can change the treatment plan. The enhanced preoperative understanding of congenital heart disease provided by MR imaging and CT simplifies surgical decision making and consequently may improve outcome.

Original languageEnglish (US)
Pages (from-to)337-349
Number of pages13
JournalRadiographics
Volume22
Issue number2
StatePublished - Mar 2002

Fingerprint

Blood Vessels
Heart Diseases
Tomography
Magnetic Resonance Imaging
Anatomy
Pulmonary Artery
Heterotaxy Syndrome
Aortic Coarctation
Hepatic Veins
Tetralogy of Fallot
Pulmonary Veins
Echocardiography
Decision Making
Angiography
Therapeutics

Keywords

  • Aorta, abnormalities, 562.154
  • Aorta, stenosis or obstruction, 56.1511
  • Heart, abnormalities, 50.1653
  • Tetralogy of Fallot, 50.145

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

MR imaging and CT of vascular anomalies and connections in patients with congenital heart disease : Significance in surgical planning. / Haramati, Linda B.; Glicksiein, Julie S.; Issenberg, Henry J.; Haramati, Nogah; Crooke, Gregory A.

In: Radiographics, Vol. 22, No. 2, 03.2002, p. 337-349.

Research output: Contribution to journalArticle

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