MR Imaging and CT of Vascular Anomalies and Connections in Patients with Congenital Heart Disease: Significance in Surgical Planning

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

doi:10.1148/radiographics.22.2.g02mr09337

Cited by 124 publications

(63 citation statements)

References 17 publications

(14 reference statements)

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“…Diagnostic procedures that can be used for vascular ring include chest radiography, barium esophagography, echocardiography, CT, MRI, endoscopy, or angiography. Some studies report that CT or magnetic resonance imaging (MRI) has become the standard modality and choice for delineating detail of vascular ring (11). The MRA imaging of our patient confirmed the diagnosis and showed balanced type DAA and also the descending thoracic aorta located on the left side.…”

Section: Discussionsupporting

confidence: 72%

Balanced Double Aortic Arch in a Child With Effort Dyspnea: A Case Report

Hoseinikhah¹,

Moeinipour²,

Ghorbanzadeh³

et al. 2016

Acta Healthmedica

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Introduction: Vascular ring is a relatively rare congenital malformation of the aortic arches which causes trachea-esophageal compression. Double aortic arch is the common form of complete vascular rings. This anomaly is usually presented with respiratory symptoms in early infancy. Case presentation: A 5-year-old boy was referred to our hospital because of frequent episodes of cough and effort dyspnea. The final diagnosis was double aortic arch, and was established after magnetic resonance angiography which showed balanced type double aortic arch that completely encircled the trachea and esophagus. Conclusion: Double aortic arch is a complete form of vascular ring and it is an important cause of recurrent respiratory symptoms in infants and children. Our report emphasizes the importance of evaluating children with persistent respiratory symptoms for vascular rings. Early diagnosis and appropriate treatment of this anomaly is associated with a good outcome.

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Section: Discussionsupporting

confidence: 72%

Balanced Double Aortic Arch in a Child With Effort Dyspnea: A Case Report

Hoseinikhah¹,

Moeinipour²,

Ghorbanzadeh³

et al. 2016

Acta Healthmedica

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“…Vascular ring division procedures further highlight the preoperative benefit of CT. Robotically assisted totally endoscopic vascular ring division was shown to be a feasible and safe procedure (16) and CT and MRI are used preoperatively to detect vascular aberrations, airway compression, or esophageal impingement (17). Patent ductus arteriosus repair is another procedure that can be done totally endoscopically with a robotic surgical system (16).…”

Section: Preoperative Imaging In Other Robotic Cardiac Surgery Procedmentioning

confidence: 99%

Integrate imaging approach for minimally invasive and robotic procedures

Иванов¹,

Green

Guy³

2017

J. Thorac. Dis.

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Over the past two decades, robotic and minimally invasive cardiac surgery has been continuously refined and is currently an alternative to traditional open-heart surgery for some patients. The parallel evolution of imaging modalities has made robotic surgery safer and more efficient. Here, we review the preand post-operative use of computed tomography (CT) in minimally invasive and robotic cardiac procedures.

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“…Computed Tomography (CT) has the advantages of easy availability and very short scanning times. 3,4 Contrast-enhanced multi-detector CT angiography allows precise timing for accurate extracardiac arterial and venous imaging.…”

Section: Introduction ᴪmentioning

confidence: 99%

“…3 Multi-detector CT angiography is useful in demonstrating the PA anatomy, along with the significant APCs.…”

mentioning

confidence: 99%

Accuracy of different imaging modalities prior to biventricular repair in Tetralogy of Fallot

Raval¹,

Oswal²,

Thakkar³

et al. 2016

Internet Journal of Medical Update - EJOURNAL

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ABSTRACT:The aim of the present study was to determine the diagnostic accuracy of non-invasive tests in patients with Tetralogy of Fallot prior to biventricular repair, and the need of invasive angiocardiography in specific subgroups. A retrospective analysis was performed for paediatric patients with Tetralogy of Fallot who underwent biventricular repair in three consecutive months. Patients were divided into two groups according to their age: below and above 5 years. We compared the findings of different imaging modalities (e.g. echocardiography, multi-detector Computed Tomography (CT) and invasive angiocardiography) to intraoperative findings to determine their accuracies in different subgroups. Results showed that echocardiography is reliable for preoperative imaging, especially in younger children (sensitivity=71.43%) and its findings are 'moderately' concordant with intraoperative findings (kappa=0.439). For patients above 5 years of age, its sensitivity (29.41%) declines and findings are 'poorly' concordant with intraoperative findings (kappa=0.093). With addition of multi-detector CT, the findings of non-invasive means are 'perfectly' concordant with the intraoperative findings (kappa=1) in children below 5 years and 'moderately' concordant with those (kappa=0.4) in children above 5 years. The findings of CT are 'moderately' concordant with those of invasive angiocardiography (kappa=0.4). Tetralogy of Fallot patients below 5 years can directly be subjected to surgery with work-up including detailed echocardiography only. If anatomy is not clearly delineated, CT helps and invasive angiocardiography is not essential. In patients above 5 years, CT has an important role in defining anatomy. The need for catheterization is limited to hemodynamic evaluation of prior shunt and embolization of aorto-pulmonary collaterals.

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MR Imaging and CT of Vascular Anomalies and Connections in Patients with Congenital Heart Disease: Significance in Surgical Planning

Cited by 124 publications

References 17 publications

Balanced Double Aortic Arch in a Child With Effort Dyspnea: A Case Report

Balanced Double Aortic Arch in a Child With Effort Dyspnea: A Case Report

Integrate imaging approach for minimally invasive and robotic procedures

Accuracy of different imaging modalities prior to biventricular repair in Tetralogy of Fallot

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