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Pediatric Cardiac MRI

  • Chapter
Pediatric Chest Imaging

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

The segmental approach to the diagnosis of congenital heart disease (Van Praagh 1984) includes the following analysis:

  1. 1.

    What is the anatomic type of the three major cardiac segments: the viscero-atrial situs, the ventricles, and the great arteries? Consider the example of a patient with complete transposition (d-TGA) with VSD and pulmonary stenosis. The cardiac segments are: situs solitus of the atria and viscera, d-looping of the ventricles (morphologic right ventricle lies to the right of the morphologic left ventricle), and d-malposition of the great arteries (aortic valve annulus lies to the right of the pulmonary annulus).

  2. 2.

    How is each segment connected to the adjacent segment? In the example of d-TGA described above, there is atrioventricular concordance and ventriculoarterial discordance.

  3. 3.

    What are the associated malformations? In the example described above, the patient also has a conoventricular VSD and pulmonary valve stenosis associated with d-TGA.

  4. 4.

    How do the segmental combinations and connections, along with the associated malformations, function? The patient with the morphology described above will have cyanosis and reduced pulmonary blood flow.

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Authors and Affiliations

  1. Department of Diagnostic Imaging (MC 2-2521), Texas Children’s Hospital, 6621 Fannin Street, Houston, TX, 77030-2399, USA

    Rajesh Krishnamurthy MD & Taylor Chung MD (Head and Chief)

  2. Diagnostic Imaging Services, Texas Children’s Hospital, 6621 Fannin Street, Houston, TX, 77030-2399, USA

    Taylor Chung MD (Head and Chief)

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  1. Rajesh Krishnamurthy MD
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Editors and Affiliations

  1. Department of Pediatric Radiology and Institute of Diagnostic Imaging, Vall d’Hebron Hospitals, Ps. Vall d’Hebron 119-129, 08035, Barcelona, Spain

    Javier Lucaya MD (Emeritus and Director) (Emeritus and Director)

  2. Department of Radiology, Hospital Quirón, Plaña Alfonso Comin 5-7, 08023, Barcelona, Spain

    Javier Lucaya MD (Emeritus and Director) (Emeritus and Director)

  3. Department of Radiology Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA

    Janet L. Strife MD, FACR (Professor of Radiology and Pediatrics) (Professor of Radiology and Pediatrics)

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Krishnamurthy, R., Chung, T. (2008). Pediatric Cardiac MRI. In: Lucaya, J., Strife, J.L. (eds) Pediatric Chest Imaging. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-32676-2_15

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