Repaired Congenital Heart Disease in Older Children and Adults

Gadiyaram, Varuna; Monti, Caterina Beatrice; Sahu, Anurag; Filev, Peter; Muscogiuri, Giuseppe; Secchi, Francesco; Sardanelli, Francesco; Stillman, Arthur E.; Cecco, Carlo N. De

doi:10.1016/j.rcl.2019.12.004

Cited by 3 publications

(2 citation statements)

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“…Any degree of impedance at the level of the pulmonary vessels or valves in addition to rhythm disturbances may lead to significant obstruction to flow. In the long term, this may result in presentation of symptoms of right heart failure [37][38][39]. It is essential to note that RV failure may accompany LV failure; therefore, a comprehensive assessment must be performed.…”

Section: Heart Failurementioning

confidence: 99%

“…The presence of an atrial thrombus is more commonly seen in older patients with the atriopulmonary variation of the Fontan procedure and can be detected with either CT or MRI. Dilatation of the right atrium and slow flow within it can occur and may result in venous obstruction, which facilitates thrombus formation [37][38][39]. 2D cine and 2D PC MRI for evaluation of the single ventricle and valvular function as well as flow through the cavopulmonary anastomoses can be performed, respectively.…”

Section: Fontan Circuitmentioning

confidence: 99%

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Complex adult congenital heart disease on cross-sectional imaging: an introductory overview

et al. 2022

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Congenital heart disease is the most common group of congenital pathology. Over the past few decades, advances in surgical treatment have resulted in a rising population of adult patients with repaired complex congenital heart disease. Although the quality of life has greatly improved, a significant proportion of morbidities encountered in clinical practice is now seen in adults rather than in children. These patients often have significant haemodynamic pathophysiology necessitating repeat intervention. CT and MRI are excellent imaging modalities, which help elucidate potential complications that may need urgent management. Although imaging should be performed in specialised centres, occasionally patients may present acutely to emergency departments in hospitals with little experience in managing potentially complex patients. The purpose of this article is to provide an introductory overview to the radiologist who may not be familiar with complex congenital heart disease in adult patients. This educational review has three main sections: (1) a brief overview of the post-operative anatomy and surgical management of the most common complex conditions followed by (2) a discussion on CT/MRI protocols and (3) a review of the various complications and their CT/MRI findings.

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Section: Heart Failurementioning

confidence: 99%

Section: Fontan Circuitmentioning

confidence: 99%