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Magnetresonanztomographie und Spiralcomputertomographie in der Diagnostik und Nachsorge von Erwachsenen mit angeborenen Herz-und Gefäßanomalien

Magnetic resonance imaging and spiral-CT in diagnosis and follow-up in adults with congenital heart and vessel disease

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Zusammenfassung

Für die Beurteilung des prä-und posto-operativen anatomischen und funktionellen Status von Erwachsenen mit angeborenen Herzfehlern sind detaillierte Informationen über Anatomie und Funktion aller kardialen und vaskulären Strukturen unverzichtbar. Lange Zeit stellte die Angiokardiographie den Goldstandard zur Erfassung und Beurteilung dieser Parameter dar. Als bildgebende Verfahren finden inzwischen neben der Angiokardiographie besonders die Echokardiographie und zunehmend häufig die Magnetresonanztomographie (MRT) sowie die Computertomographie (CT) Anwendung. All diese Verfahren sollten künftig nicht mehr als konkurrierende, sondern ais einander ergänzende Verfahren gesehen werden.

Abstract

Management of patients with congenital heart disease requires detailed information on cardiac and great vessel morphology. In previous years the diagnosis and treatment of congenital malformations often depended on cardiac catheterization and in many institutions cardiac catheterization still remains the gold standard against which other modalities are measured.

In the past decade, however, imaging methodologies have increasingly shifted toward the use of less invasive and noninvasive techniques. Currently, echocardiography is the initial method of choice in evaluating the anatomy, especially in younger patients. Meanwhile, several newer imaging techniques like magnetic resonance imaging (MRI) and computed tomography (CT) are in use. They offer extremely useful information about abnormalities of the heart and great vessels as well as for the assessment of cardiac anatomy and function.

Echo, angiography, MRT and CT should be seen as complementary investigations in adult congenital heart disease.

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Authors and Affiliations

  1. Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum, Lazarettstraße 36, D-80636, München

    Harald Kaemmerer & John Hess

  2. Klinik und Poliklinik für Nucklearmedizin, Klinikum rechts der Isar der Technischen Universität München, München

    Tareq Ibrahim & Markus Schwaiger

Authors
  1. Harald Kaemmerer
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  2. Tareq Ibrahim
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  3. Markus Schwaiger
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  4. John Hess
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Correspondence to Harald Kaemmerer.

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Kaemmerer, H., Ibrahim, T., Schwaiger, M. et al. Magnetresonanztomographie und Spiralcomputertomographie in der Diagnostik und Nachsorge von Erwachsenen mit angeborenen Herz-und Gefäßanomalien. Herz 24, 263–275 (1999). https://doi.org/10.1007/BF03043878

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  • DOI: https://doi.org/10.1007/BF03043878

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