Skip to main content
SpringerLink
Log in

Non-cardiac Findings of Cardiac CT

  • Chapter
  • First Online:
Pediatric Cardiac CT in Congenital Heart Disease

  • 709 Accesses

Abstract

Cardiac imaging plays a key role in the accurate diagnosis of pediatric congenital heart disease (CHD). Pediatric cardiac CT does not only accurately demonstrate the intracardiac anatomy in complex CHD, and vascular anomalies, but also allows evaluation of lungs, airways, soft tissues, and osseous structures. Prevalence of clinically significant extracardiac finding is common; hence, physician reading CT angiography studies of pediatric congenital heart disease patients should be aware of possible significant findings that occur outside the heart and, therefore, should follow a systematic approach in the reading of such studies. This will help to ensure that important findings are not missed, necessary clinical management is implemented, and unnecessary follow-up examinations are avoided.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Dodge-Khatami J, Adebo DA. Evaluation of complex congenital heart disease in infants using low dose cardiac computed tomography. Int J Cardiovasc Imaging. 2021; https://doi.org/10.1007/s10554-020-02118-7.

  2. Goo HW, Park IS, Ko JK, Kim YH, Seo DM, Park JJ. Computed tomography for the diagnosis of congenital heart disease in pediatric and adult patients. Int J Cardiovasc Imaging. 2005;21:347–65.

    Article  Google Scholar 

  3. Leschka S, Oechslin E, Husmann L, et al. Pre- and postoperative evaluation of congenital heart disease in children and adults with 64-section CT. Radiographics. 2007;27:829–46.

    PubMed  Google Scholar 

  4. Han BK, Lindberg J, Grant K, Schwartz RS, Lesser JR. Accuracy and safety of high pitch computed tomography imaging in young children with complex congenital heart disease. Am J Cardiol. 2011;107:1541–6.

    Article  Google Scholar 

  5. Schicchi N, Fogante M, Pirani E, et al. Third-generation dual-source dual-energy CT in pediatric congenital heart disease patients: state-of-the-art. Radiol Med. 2019;124:1238–52.

    Article  Google Scholar 

  6. Zheng M, Zhao H, Xu J, Wu Y, Li J. Image quality of ultra-low-dose dual source CT angiography using high pitched spiral acquisition and iterative reconstruction in young children with congenital heart disease. J Cardiovasc Comput Tomogr. 2013;7(6):376–82.

    Article  Google Scholar 

  7. Hellinger JC, Pena A, Poon M, et al. Pediatric computed tomographic angiography: imaging the cardiovascular system gently. Radiol Clin N Am. 2010;48:439–67.

    Article  Google Scholar 

  8. Chia PL, Kaw G, Wansaicheong G, et al. Prevalence of noncardiac findings in a large series of patients undergoing cardiac multi-detector computed tomography scans. Int J Cardiovasc Imaging. 2009;25:537–43.

    Article  Google Scholar 

  9. Prabhu SP, Mahmood S, Sena L, et al. MDCT evaluation of pulmonary embolism in children and young adults following a lateral tunnel Fontan procedure: optimizing contrast-enhancement techniques. Pediatr Radiol. 2009;39:938–44.

    Article  Google Scholar 

  10. Applegate KE, Goske MJ, Pierce G, et al. Situs revisited: imaging of the heterotaxy syndrome. Radiographics. 1999;19:837–52.

    Article  CAS  Google Scholar 

  11. Khanna G, Bhalla S, Krishnamurthy R, et al. Extracardiac complications of the Fontan circuit. Pediatr Radiol. 2012;42:233–41.

    Article  Google Scholar 

  12. Goldberg DJ, Dodds K, Rychik J. Rare problems associated with the Fontan circulation. Cardiol Young. 2010;20:113–9.

    Article  Google Scholar 

  13. Newman B, Cho Y. Left pulmonary artery sling–anatomy and imaging. Semin Ultrasound CT MR. 2010;31:158–70.

    Article  Google Scholar 

  14. Koonce J, Schoepf JU, Nguyen SA, et al. Extra-cardiac findings at cardiac CT: experience with 1,764 patients. Eur Radiol. 2010;19:570–6.

    Article  Google Scholar 

  15. Gil BN, Ran K, Tamar G, et al. Prevalence of significant noncardiac findings on coronary multidetector computed tomography angiography in asymptomatic patients. J Comput Assist Tomogr. 2007;31:1–4.

    Article  Google Scholar 

  16. Budoff MJ, Fischer H, Gopal A. Incidental findings with cardiac CT evaluation: should we read beyond the heart? Catheter Cardiovasc Interv. 2006;68:965–73.

    Article  Google Scholar 

  17. Budoff MJ, Gopal A. Incidental findings on cardiac computed tomography. Should we look? J Cardiovasc Comput Tomogr. 2007;1:97–105.

    Article  Google Scholar 

  18. Mueller J, Jeudy J, Poston R, et al. Cardiac CT angiography after coronary bypass surgery: prevalence of incidental findings. AJR Am J Roentgenol. 2007;189:414–9.

    Article  Google Scholar 

  19. Schragin JG, Weissfeld JL, Edmundowicz D, et al. Noncardiac findings on coronary electron beam computed tomography scanning. J Thorac Imaging. 2004;19:82–6.

    Article  Google Scholar 

  20. Northam M, Koonce J, Ravenel JG. Pulmonary nodules detected at cardiac CT: comparison of images in limited and full fields of view. AJR Am J Roentgenol. 2004;191:878–81.

    Article  Google Scholar 

  21. Rychik J. Forty years of the Fontan operation: a failed strategy. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2010;13:96–100.

    Article  Google Scholar 

  22. Eichhorn JG, Jourdan C, Hill SL, et al. CT of pediatric vascular stents used to treat congenital heart disease. AJR Am J Roentgenol. 2008;190:1241–6.

    Article  Google Scholar 

  23. Boiselle PM, Bremerich J, de Roos A, et al. Expert opinion: computed tomography versus magnetic resonance imaging for young adults with congenital heart disease. J Thorac Imaging. 2013;28:331.

    Article  Google Scholar 

  24. Krishnamurthy R. Neonatal cardiac imaging. Pediatr Radiol. 2010;40:518–27.

    Article  Google Scholar 

  25. Greenberg SB, Bhutta S, Braswell L, et al. Computed tomography angiography in children with cardiovascular disease: low dose techniques and image quality. Int J Cardiovasc Imaging. 2012;28:163–70.

    Article  Google Scholar 

  26. Haller S, Kaiser C, Buser P, et al. Coronary artery imaging with contrast-enhanced MDCT: extracardiac findings. AJR Am J Roentgenol. 2006;187:105–10.

    Article  Google Scholar 

  27. Horton KM, Post WS, Blumenthal RS, et al. Prevalence of significant noncardiac findings on electron-beam computed tomography coronary artery calcium screening examinations. Circulation. 2002;106:532–4.

    Article  Google Scholar 

  28. Onuma Y, Tanabe K, Nakazawa G, et al. Noncardiac findings in cardiac imaging with multidetector computed tomography. J Am Coll Cardiol. 2006;48:402–6.

    Article  Google Scholar 

  29. Hunold P, Schmermund A, Seibel RM, et al. Prevalence and clinical significance of accidental findings in electron-beam tomographic scans for coronary artery calcification. Eur Heart J. 2001;22:1748–58.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Children’s Heart Institute, Division of Pediatric Cardiology, Non-Invasive Cardiac Imaging, Children’s Memorial Hermann Hospital, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA

    Dilachew A. Adebo

Authors
  1. Dilachew A. Adebo
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Dilachew A. Adebo .

Editor information

Editors and Affiliations

  1. Division of Pediatric Cardiology, The University of Texas Health Science Center, Houston, TX, USA

    Dilachew A. Adebo

Rights and permissions

Reprints and permissions

Copyright information

© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Adebo, D.A. (2021). Non-cardiac Findings of Cardiac CT . In: Adebo, D.A. (eds) Pediatric Cardiac CT in Congenital Heart Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-74822-7_31

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-74822-7_31

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-74821-0

  • Online ISBN: 978-3-030-74822-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation