Role of MDCT angiography in the preoperative evaluation of anomalous pulmonary venous connection associated with complex cardiac abnormality

Liu, Jingzhe; Wu, Qingyu; Xu, Yufeng; Bai, Yan; Liu, Zhibo; Li, Hongyin; Zhu, Jiemin

doi:10.1016/j.ejrad.2011.01.096

Cited by 8 publications

(7 citation statements)

References 21 publications

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“…However, the high correlation between CT, invasive angiography, and surgery provides sufficient data to conclude that MDCT should be preferred over transthoracic echocardiography for patients with suspected APVD and that MDCT may have a diagnostic performance that is at least similar to that of angiography. A similar conclusion was recently reported by Liu et al [17], who suggested that 16-and 64-MDCT angiographic studies may be superior to echocardiography and conventional angiography in patients with complex APVD.…”

Section: Bsupporting

confidence: 88%

Dual-Source 256-MDCT for Diagnosis of Anomalous Pulmonary Venous Drainage in Pediatric Population

Bonelli-Sica

Mora-Cervantes²,

Díaz-Zamudio³

et al. 2013

American Journal of Roentgenology

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Section: Bsupporting

confidence: 88%

Dual-Source 256-MDCT for Diagnosis of Anomalous Pulmonary Venous Drainage in Pediatric Population

Bonelli-Sica

Mora-Cervantes²,

Díaz-Zamudio³

et al. 2013

American Journal of Roentgenology

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“…15 Although conventional catheter angiography has been accepted as the gold standard-and it does enable detailed evaluation of the drainage of the PVs and of possible obstructions-it carries the risk of cardiac arrest and even of death in cases of obstructive TAPVC and severe cyanosis. 16 Magnetic resonance imaging offers several advantages over cardiovascular imaging: its true multiplanar capabilities, its lack of ionizing radiation, its absence of need for an iodinated contrast agent, and its ability not only to characterize shunt direction but also to quantify flow.…”

Section: Discussionmentioning

confidence: 99%

“…Multidetector CT might not provide additional diagnostic information about isolated TAPVC; however, it might be assumed to show superiority over TTE and catheter angiography in the evaluation of patients with complex TAPVC. 15 Multidetector CT angiography can yield 2-and 3-dimensional reconstructed images with high spatial resolution, which is helpful in evaluating complex cardiovascular anomalies. Liu and colleagues 15 have shown that MDCTA is superior to TTE and catheter angiography in the evaluation of TAPVC, especially in patients with complex congenital cardiovascular anomalies.…”

Section: Discussionmentioning

confidence: 99%

“…15 Multidetector CT angiography can yield 2-and 3-dimensional reconstructed images with high spatial resolution, which is helpful in evaluating complex cardiovascular anomalies. Liu and colleagues 15 have shown that MDCTA is superior to TTE and catheter angiography in the evaluation of TAPVC, especially in patients with complex congenital cardiovascular anomalies. The authors reported that MDCTA can distinctly…”

Section: Discussionmentioning

confidence: 99%

“…If TAPVC is not detected and corrected, it can result in intractable and fatal pulmonary edema, and in difficulty in weaning the patient from cardiopulmonary bypass. 15 Therefore, detailed delineation of complex TAPVC is crucial in surgical planning for these patients. In the present study, MDCTA led to the correct identification of complex TAPVC in all patients.…”

Section: B a Cmentioning

confidence: 99%

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Total Anomalous Pulmonary Venous Connection in Children: Preoperative Evaluation with Low-Dose Multidetector Computed Tomographic Angiography

Türkvatan¹,

Tola²,

Ayyıldız³

et al. 2017

Texas Heart Institute Journal

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We report the results of our retrospective evaluation, from February 2011 through August 2014, of the anatomic features of total anomalous pulmonary venous connection (TAPVC) and its associated cardiovascular anomalies in a pediatric population. In all 43 patients under study (23 female; average age, 9 mo [range, 4 d-7 T otal anomalous pulmonary venous connection (TAPVC) constitutes approximately 1% to 3% of all cardiovascular abnormalities in which the pulmonary veins (PVs) have no connection with the left atrium and connect directly to the right atrium or to one or more systemic veins. 1 Embryologically, TAPVC results from early atresia or failure of the common PV to develop, with persistence of at least one connection to the cardinal or the umbilical vitelline venous system. 2 Total anomalous pulmonary venous connection is a cause of neonatal cyanosis and can result in rapid death when blood is not shunted from the right side of the heart to the left side. Isolated TAPVC is diagnosed if the patient has atrial septal defect (ASD), patent ductus arteriosus (PDA), or both; complex TAPVC is diagnosed if the patient has other intracardiac lesions in addition to ASD or PDA. Although TAPVC is usually isolated, it can be a component of a complex cardiovascular disease such as heterotaxy syndrome. 3 Accurate delineation of TAPVC and the cardiovascular anomalies that accompany it are important to the guidance of surgical planning in these patients.Although TAPVCs have usually been evaluated with use of echocardiography and catheter angiography, magnetic resonance imaging (MRI) and multidetector computed tomographic angiography (MDCTA) are now playing larger roles in the diagnosis of these anomalies. 4 These imaging methods help overcome the shortcomings of transthoracic echocardiography (TTE), which gives a suboptimal acoustic window and a poor depiction of extracardiac vascular structures. They are also an improvement over catheter angiography, which produces overlapping views of adjacent vascular structures, causes difficulty in the simultaneous depiction of the systemic and pulmonary vascular systems, leads to undesirable catheter-related sequelae, and delivers relatively high doses of ionizing radiation. 5 Even though MRI is eminently

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Non-ECG-gated MDCTA of infracardiac total anomalous pulmonary venous connection in neonates and young infants

Yao

Modesti

et al. 2013

Herz

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Role of MDCT angiography in the preoperative evaluation of anomalous pulmonary venous connection associated with complex cardiac abnormality

Cited by 8 publications

References 21 publications

Dual-Source 256-MDCT for Diagnosis of Anomalous Pulmonary Venous Drainage in Pediatric Population

Dual-Source 256-MDCT for Diagnosis of Anomalous Pulmonary Venous Drainage in Pediatric Population

Total Anomalous Pulmonary Venous Connection in Children: Preoperative Evaluation with Low-Dose Multidetector Computed Tomographic Angiography

Non-ECG-gated MDCTA of infracardiac total anomalous pulmonary venous connection in neonates and young infants

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