Skip to main content

Advertisement

SpringerLink
Log in

64-Slice Multidetector-Row Computed Tomographic Angiography for Evaluating Congenital Heart Disease

  • Original Article
  • Published:
Pediatric Cardiology Aims and scope Submit manuscript

Abstract

This study aimed to assess critically the role of 64-slice multidetector-row computed tomographic (MDCT) angiography for evaluating congenital heart disease. The study enrolled 60 consecutive patients (median age, 4.7 years; median weight, 16.5 kg) with congenital heart disease who underwent 64-slice MDCT angiography during the period June 2006 through September 2007. The results were classified as diagnostic categories, and the impact of the procedure on strategizing management was critically analyzed. In each of the groups, the current technique offered a clear advantage over conventional imaging and provided specific clues for surgical/interventional management. A management algorithm was evolved based on questions frequently asked about pulmonary artery anatomy. The correlation with surgical anatomy in all cases that involved surgery was excellent. Early results suggest that 64-slice MDCT angiography is a major breakthrough in cardiovascular imaging with an important diagnostic and decision-aiding role. Diagnostic cardiac catheterization, especially for evaluating great vessel anomalies, could be largely replaced by the described technique for congenital heart disease.

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

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9

Similar content being viewed by others

References

  1. Bean MJ, Pannu H, Fishman EK (2005) Three-dimensional computed tomographic imaging of complex congenital cardiovascular abnormalities. J Comput Assist Tomogr 29:721–724

    Article  PubMed  Google Scholar 

  2. Boxt LM (2004) Magnetic resonance and computed tomographic evaluation of congenital heart disease. J Magn Reson Imaging 19:827–847

    Article  PubMed  Google Scholar 

  3. Chandran A, Fricker FJ, Schowengerdt KO, et al. (2005) An institutional review of the value of computed tomographic angiography in the diagnosis of congenital cardiac malformations. Cardiol Young 15:47–51

    Article  PubMed  Google Scholar 

  4. Chen SJ, Lee WJ, Wang JK, et al. (2003) Usefulness of three-dimensional electron beam computed tomography for evaluating tracheobronchial anomalies in children with congenital heart disease. Am J Cardiol 92:483–486

    Article  PubMed  Google Scholar 

  5. Goo HW, Park IS, Ko JK, et al. (2005) Computed tomography for the diagnosis of congenital heart disease in pediatric and adult patients. Int J Cardiovasc Imaging 21:347–365

    Article  PubMed  Google Scholar 

  6. Goo HW, Park IS, Ko JK, et al. (2003) CT of congenital heart disease: normal anatomy and typical pathologic conditions. RadioGraphics 23:S147–S165

    Article  PubMed  Google Scholar 

  7. Haramati LB, Glickstein JS, Issenberg HJ, et al. (2002) MR imaging and CT of vascular anomalies and connections in patients with congenital heart disease: significance in surgical planning. Radiographics 22:337–347

    PubMed  Google Scholar 

  8. Matsui H, Yasukochi S, Haseyama K, et al. (2007) Quantification of right and left ventricular volumes with congenital heart disease by multidetector-row computed tomography. Pediatr Cardiol 28:267–271

    Article  PubMed  Google Scholar 

  9. Hollingsworth CL, Yoshizumi TT, Frush DP, et al. (2007) Pediatric cardiac-gated CT angiography: assessment of radiation dose. AJR Am J Roentgen 189:12–18

    Article  Google Scholar 

  10. Jelnin V, Co J, Muneer B, et al. (2006) Three-dimensional CT angiography for patients with congenital heart disease: scanning protocol for pediatric patients. Catheter Cardiovasc Interv 67:120–126

    Article  PubMed  Google Scholar 

  11. Lee T, Tsai IC, Fu YC, et al. (2006) Using multidetector-row CT in neonates with complex congenital heart disease to replace diagnostic cardiac catheterization for anatomical investigation: initial experiences in technical and clinical feasibility. Pediatric Radiol 36:1273–1282

    Article  Google Scholar 

  12. Leschka S, Oechslin E, Husmann L, et al. (2007) Pre- and post-operative evaluation of congenital heart disease in children and adults with 64-section CT. Radiographics 27:829–846

    Article  PubMed  Google Scholar 

  13. Ou P, Celermajer DS, Calcagni G, et al. (2007) Three-dimensional CT scanning: a new diagnostic modality in congenital heart disease. Heart 93:908–913

    Article  PubMed  Google Scholar 

  14. Samyn MM (2004) A review of the complementary information available with cardiac magnetic resonance imaging and multislice computed tomography (CT) during the study of congenital heart disease. Int J Cardiovasc Imaging 20:569–567

    Article  PubMed  Google Scholar 

  15. Westra SJ, Hill JA, Alejos JC, et al. (1999) Three-dimensional helical CT of pulmonary arteries in infants and children with congenital heart disease. AJR Am J Roentgenol 173:109–115

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Pediatric Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, 4A, Dr. J.J. Nagar, Mogappair, Chennai, 600 037, India

    Sanjay Khatri, Suraj Kumar Varma & Raghavannair Suresh Kumar

  2. Department of Radiology, Institute of Cardiovascular Diseases, Madras Medical Mission, 4A, Dr. J.J. Nagar, Mogappair, Chennai, 600 037, India

    Payal Khatri

Authors
  1. Sanjay Khatri
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Suraj Kumar Varma
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Payal Khatri
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Raghavannair Suresh Kumar
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Raghavannair Suresh Kumar.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Khatri, S., Varma, S.K., Khatri, P. et al. 64-Slice Multidetector-Row Computed Tomographic Angiography for Evaluating Congenital Heart Disease. Pediatr Cardiol 29, 755–762 (2008). https://doi.org/10.1007/s00246-008-9196-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00246-008-9196-1

Keywords

Search

Navigation