Abstract
In the past half century, there has been a remarkable improvement in the survival of patients with congenital heart disease (CHD). We are now faced with a growing population of adult patients with a broad spectrum of simple to complex CHD. On the other hand, there have been major advances in the field of diagnostic cardiac imaging. Echocardiography, cardiovascular magnetic resonance imaging (CMR), and cardiac computed tomography (CT) are the basic imaging modalities for the evaluation of patients with CHD. Among noninvasive cardiac imaging modalities, CMR has an increasing role in the evaluation of adolescents and adults with CHD. CMR provides an unrestricted access to almost all components of the cardiovascular system; this is a utility often desired in patients with adult CHD, especially in those with complex lesions necessitating thorough assessment of the heart and arterial/venous great vessels simultaneously. Some of the well-established clinical applications of CMR in adult CHD are presented here.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Warnes CA, Liberthson R, Danielson GK, et al. Task Force 1: the changing profile of congenital heart disease in adult life. J Am Coll Cardiol. 2001;37:1170–5.
Williams R, Pearson G, Barst R, et al. Report of the National Heart, Lung and Blood Institute Working Group on research in adult congenital heart disease. J Am Coll Cardiol. 2006;47:701–7.
Warnes C, Williams R, Bashore T, et al. ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2008;52(23):e143–263. doi:10.1016/j.jacc.2008.10.001.
Prakash A, Powell AJ, Geva T. Multimodality noninvasive imaging for assessment of congenital heart disease. Circ Cardiovasc Imaging. 2010;3:112–25.
Baumgartner H, Bonhoeffer P, De Groot NM, et al. ESC Guidelines for the management of grown-up congenital heart disease (new version 2010). Eur Heart J. 2010;31(23):2915–57.
Brenner DJ, Hall EJ. Computed tomography: an increasing source of radiation exposure. N Engl J Med. 2007;357:2277–84.
Brenner DJ, Doll R, Goodhead DT, et al. Cancer risks attributable to low doses of ionizing radiation: assessing what we really know. Proc Natl Acad Sci U S A. 2003;100:13761–6.
Coles DR, Smail MA, Negus IS. Comparison of radiation doses from multislice computed tomography coronary angiography and conventional diagnostic angiography. J Am Coll Cardiol. 2006;47:1840–5.
Tworetzky W, McElhinney DB, Brook MM, et al. Echocardiographic diagnosis alone for the complete repair of major congenital heart defects. J Am Coll Cardiol. 1999;33:228–33.
Dorfman AL, Levine JC, Colan SD, et al. Accuracy of echocardiography in low birth weight infants with congenital heart disease. Pediatrics. 2005;115:102–7.
Kilner PJ, Geva T, Kaemmerer H, et al. Recommendations for cardiovascular magnetic resonance in adults with congenital heart disease from the respective working groups of the European Society of Cardiology. Eur Heart J. 2010;31:794–805.
Gatzoulis M, Webb GD, Daubeney PEF. Diagnosis and management of adult congenital heart disease. 2nd ed. Philadelphia: Saunders/Elsevier; 2011.
Napoli KL, Ingall CG, Martin GR. Safety and efficacy of chloral hydrate sedation in children undergoing echocardiography. J Pediatr. 1996;129:287–91.
Plein S, Greenwood JP, Ridgway JP. Cardiovascular MR manual. London/New York: Springer; 2011.
Bellenger NG, Marcus NJ, Rajappan K, et al. Comparison of techniques for the measurement of left ventricular function following cardiac transplantation. J Cardiovasc Magn Reson. 2002;4:255–63.
Karamitsos T, Hudsmith L, Selvanayagama J, et al. Operator induced variability in left ventricular measurements with cardiovascular magnetic resonance is improved after training. J Cardiovasc Magn Reson. 2007;9:777–83.
Mooij CF, de Wit CJ, Graham DA, et al. Reproducibility of MRI measurements of right ventricular size and function in patients with normal and dilated ventricles. J Magn Reson Imaging. 2008;28:67–73.
Grothues F, Smith GC, Moon JC, et al. Comparison of interstudy reproducibility of cardiovascular magnetic resonance with two-dimensional echocardiography in normal subjects and in patients with heart failure or left ventricular hypertrophy. Am J Cardiol. 2002;90:29–34.
Van den Bosch AE, Robbers-Visser D, Krenning BJ, et al. Comparison of real-time three-dimensional echocardiography to magnetic resonance imaging for assessment of left ventricular mass. Am J Cardiol. 2006;97:113–7.
Mannaerts HF, Van Der Heide JA, Kamp O, et al. Quantification of left ventricular volumes and ejection fraction using freehand transthoracic three-dimensional echocardiography: comparison with magnetic resonance imaging. J Am Soc Echocardiogr. 2003;16:101–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag London
About this chapter
Cite this chapter
Kyavar, M., Sadeghpour, A. (2014). Cardiovascular Magnetic Resonance Imaging in Adult Congenital Heart Disease. In: Sadeghpour, A., Kyavar, M., Alizadehasl, A. (eds) Comprehensive Approach to Adult Congenital Heart Disease. Springer, London. https://doi.org/10.1007/978-1-4471-6383-1_12
Download citation
DOI: https://doi.org/10.1007/978-1-4471-6383-1_12
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-6382-4
Online ISBN: 978-1-4471-6383-1
eBook Packages: MedicineMedicine (R0)