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Septal Defects

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Magnetic Resonance Imaging of Congenital Heart Disease

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Abstract

Septal defects are the most common congenital heart defects. Although often being classified as simple congenital cardiac defects, many of these anomalies are of hemodynamic importance. Cardiovascular magnetic resonance (CMR) imaging is able to describe the anatomical details of atrial and ventricular septal defects as well as their associated anomalies. In addition, CMR provides clinically important information about the hemodynamic significance of a particular defect by enabling accurate shunt quantification and precise measurement of atrial and ventricular volumes. In this chapter, the different atrial and ventricular septal defects and the CMR techniques for their evaluation are described.

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Author information

Authors and Affiliations

  1. Department of Congenital Heart Disease and Pediatric Cardiology, University Hospital Schleswig-Holstein, Kiel, Germany

    Inga Voges

  2. DZHK (German Centre for Cardiovascular Research), Kiel, Germany

    Inga Voges

  3. Department of Paediatric Cardiology, Royal Brompton Hospital, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

    Sylvia Krupickova

  4. Imperial College, London, UK

    Sylvia Krupickova

  5. CMR Unit, Royal Brompton Hospital, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

    Sylvia Krupickova

Authors
  1. Inga Voges
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  2. Sylvia Krupickova
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Corresponding author

Correspondence to Inga Voges .

Editor information

Editors and Affiliations

  1. Rolf & Merian Gunnar Professor of Medicine-Cardiology, Director Cardiovascular Imaging & Program Director, Cardiovascular Disease Fellowship, Loyola University Medical Center, Maywood, IL, USA

    Mushabbar A. Syed

  2. Professor of Cardiovascular Imaging, Royal Brompton and Harefield Hospitals, Guy’s and St Thomas’ NHS Foundation Trust & National Heart and Lung Institute, Imperial College London, London, UK

    Raad H. Mohiaddin

6.1 Electronic Supplementary Material

Movie 6.1

Large superior sinus venosus defect with pulmonary hypertension (MP4 1186 kb)

Movie 6.2

Same patient as in movie 6.1. The RV is hypertrophied and the main pulmonary artery is dilated (MP4 1153 kb)

Movie 6.3

Coronary sinus defect (AVI 2256 kb)

Movie 6.4

Same patient as in movie 6.3. There is no associated left persistent superior vena cava. Please note the increased LV trabeculations in the four-chamber view (AVI 2256 kb)

Movie 6.5

Central perimembranous VSD with aneurysm. There is a shunt from the LV to the right atrium across the defect (AVI 3421 kb)

Movie 6.6

Same patient as in movie 6.5. Central perimembranous VSD with aneurysm. There is a shunt from the LV to the right atrium across the defect (AVI 3421 kb)

Movie 6.7

Patient after surgical VSD closure and postoperative RVOT obstruction. There is a narrowing with flow turbulences in the RVOT cine view (AVI 2827 kb)

Movie 6.8

SSFP cine images showing an inferior sinus venosus defect (AVI 1990 kb)

Movie 6.9

Partial anomalous pulmonary venous drainage into the superior vena cava (AVI 2247 kb)

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Voges, I., Krupickova, S. (2023). Septal Defects. In: Syed, M.A., Mohiaddin, R.H. (eds) Magnetic Resonance Imaging of Congenital Heart Disease. Springer, Cham. https://doi.org/10.1007/978-3-031-29235-4_6

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  • DOI: https://doi.org/10.1007/978-3-031-29235-4_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-29234-7

  • Online ISBN: 978-3-031-29235-4

  • eBook Packages: MedicineMedicine (R0)

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