Digital subtraction angiography (DSA) of the heart was performed in 54 patients for the evaluation of congenital heart disorders. DSA produced high-quality diagnostic images and accurate physiologic shunt data that compared favorably with catheter angiography and nuclear medicine studies. Retrospective analysis of this series of patients indicated that DSA studies contributed sufficient information to shorten significantly or modify cardiac catheterization in 85% (79/93) of the defects that were identified. Interatrial septal defects were particularly well diagnosed, with identification occurring in 10 of 10 cases, whereas intraventricular septal defects were identified in only 6 of 9 patients. Evaluation of postsurgical patients was accurate in 19 of 20 cases.
Standard coronal magnetic resonance (MR) imaging cannot depict long segments of the tracheobronchial tree and left pulmonary artery owing to the normal thoracic kyphosis and posteriorly angled course of these structures. By the use of electronic axial rotation (EAR), however, MR is capable of imaging any plane. We used EAR in 25 patients undergoing MR examinations of the thorax. This technique allowed superior definition of the longitudinal axis of the tracheobronchial tree and left pulmonary artery. The right pulmonary artery was satisfactorily imaged by the standard coronal plane.
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