Skip to main content
SpringerLink
Log in

Computed tomography for the diagnosis of congenital heart disease in pediatric and adult patients

  • Published:
The International Journal of Cardiovascular Imaging Aims and scope Submit manuscript

Abstract

The development of multi-slice spiral computed tomography (CT) has increased the clinical use of cardiac CT imaging in patients with congenital heart disease. Multi-slice CT has the advantages of fast scan speed; high spatial resolution, enabling the acquisition of isotropic volume data; and simultaneous evaluation of airways and lung parenchyma, thus increasing the ability to answer most clinical questions about structural abnormalities in patients with congenital heart disease. When coupled with electrocardiography-gating, multi-slice spiral CT can be used in functional evaluations, including ventricular wall motion, ventricular ejection fraction, and motion of cardiac valves, as well as enabling the performance of high-quality coronary CT angiography. In this article, we review imaging techniques of multi-slice spiral CT and imaging findings in pediatric and adult patients with various congenital heart diseases.

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

Similar content being viewed by others

References

  1. HW Goo IS Park JK Ko et al. (2003) ArticleTitleCT of congenital heart disease: normal anatomy and typical pathologic conditions Radiographics 23 S147–S165 Occurrence Handle14557509

    PubMed  Google Scholar 

  2. KU Juergens M Grude EM Fallenberg et al. (2002) ArticleTitleUsing ECG-gated multidetector CT to evaluate global left ventricular myocardial function in patients with coronary artery disease AJR Am J Roentgenol 179 1545–1550 Occurrence Handle12438052

    PubMed  Google Scholar 

  3. HK Pannu TG Flohr FM Corl EK Fishman (2003) ArticleTitleCurrent concepts in multi-detector row CT evaluation of the coronary arteries: principles, techniques, and anatomy Radiographics 23 S111–S125 Occurrence Handle14557506

    PubMed  Google Scholar 

  4. JK Willmann R Kobza JE Roos et al. (2002) ArticleTitleECG-gated multi-detector row CT for assessment of mitral valve disease: initial experience Eur Radiol 12 2662–2669 Occurrence Handle12386755

    PubMed  Google Scholar 

  5. JK Willmann D Weishaupt M Lachat et al. (2002) ArticleTitleElectrocardiographically gated multi-detector row CT for assessment of valvular morphology and calcification in aortic stenosis Radiology 225 120–128 Occurrence Handle12354994

    PubMed  Google Scholar 

  6. RM Steiner GP Reddy S Flicker (2002) ArticleTitleCongenital cardiovascular disease in the adult patient: imaging update J Thorac Imaging 17 1–17 Occurrence Handle11828207

    PubMed  Google Scholar 

  7. M Katz E Konen J Rozenman A Szeinberg Y Itzchak (1995) ArticleTitleSpiral CT and 3D image reconstruction of vascular rings and associated tracheobronchial anomalies J Comput Assist Tomogr 19 564–568 Occurrence Handle1:STN:280:ByqA2cfjt1M%3D Occurrence Handle7622685

    CAS  PubMed  Google Scholar 

  8. JF Paul A Serraf (2002) ArticleTitleTruncus arteriosus and double aortic arch Circulation 105 e170 Occurrence Handle12010918

    PubMed  Google Scholar 

  9. RJ Fleck P Pacharn BL Fricke MA Ziegler RT Cotton LF Donnelly (2002) ArticleTitleImaging findings in pediatric patients with persistent airway symptoms after surgery for double aortic arch AJR Am J Roentgenol 178 1275–1279 Occurrence Handle11959745

    PubMed  Google Scholar 

  10. EY Lee MJ Siegel CF Hildebolt FR Gutierrez S Bhalla JH Fallah (2004) ArticleTitleMDCT evaluation of thoracic aortic anomalies in pediatric patients and young adults: comparison of axial, multiplanar, and 3D images AJR Am J Roentgenol 182 777–784 Occurrence Handle14975985

    PubMed  Google Scholar 

  11. KL Hopkins LE Patrick SF Simoneaux ER Bank WJ Parks SS Smith (1996) ArticleTitlePediatric great vessel anomalies: initial clinical experience with spiral CT angiography Radiology 200 811–815 Occurrence Handle1:STN:280:BymA2cjosFM%3D Occurrence Handle8756937

    CAS  PubMed  Google Scholar 

  12. Y Moon YM Kim TH Kim MY Kim JY Lee HS Kim (2001) ArticleTitleCongenital anomalies of aortic arch: CT angiography J Korean Radiol Soc 44 51–58

    Google Scholar 

  13. C Becker C Soppa U Fink et al. (1997) ArticleTitleSpiral CT angiography and 3D reconstruction in patients with aortic coarctation Eur Radiol 7 1473–1477 Occurrence Handle1:STN:280:DyaK1c%2FjvFWiuw%3D%3D Occurrence Handle9369517

    CAS  PubMed  Google Scholar 

  14. C Sebastià S Quiroga R Boyé M Perez-Lafuente E Castellà A Alvarez-Castells (2003) ArticleTitleAortic stenosis: spectrum of diseases depicted at multisection CT Radiographics 23 S79–S91 Occurrence Handle14557504

    PubMed  Google Scholar 

  15. HY Chen LK Chen CT Su et al. (2002) ArticleTitleLeft cervical aortic arch with aneurysm and obstruction: three-dimensional computed tomographic angiography and magnetic resonance angiographic appearance Int J Cardiovasc Imaging 18 463–468 Occurrence Handle1:STN:280:DC%2BD3s%2FivFyntw%3D%3D Occurrence Handle12537416

    CAS  PubMed  Google Scholar 

  16. RM Freedom JB Mawson SJ Yoo LN Benson (1997) Congenital heart disease: textbook of angiocardiography Futura Armonk, NY

    Google Scholar 

  17. MJ Siegel (2003) ArticleTitleMultiplanar and three-dimensional multi-detector row CT of thoracic vessels and airways in the pediatric population Radiology 229 641–650 Occurrence Handle14563904

    PubMed  Google Scholar 

  18. SJ Westra J Hurteau A Galindo MF McNitt-Gray MI Boechat H Laks (1999) ArticleTitleCardiac electron-beam CT in children undergoing surgical repair for pulmonary atresia Radiology 213 502–512 Occurrence Handle1:STN:280:DC%2BD3c%2FhvV2gsg%3D%3D Occurrence Handle10551233

    CAS  PubMed  Google Scholar 

  19. E Coche S Pawlak S Dechambre B Maldague (2003) ArticleTitlePeripheral pulmonary arteries: identification at multi-slice spiral CT with 3D reconstruction Eur Radiol 13 815–822 Occurrence Handle12664122

    PubMed  Google Scholar 

  20. KH Lee CS Yoon KO Choe et al. (2001) ArticleTitleUse of imaging for assessing anatomical relationships of tracheobronchial anomalies associated with left pulmonary artery sling Pediatr Radiol 31 269–278 Occurrence Handle1:STN:280:DC%2BD3M3jtVSgtw%3D%3D Occurrence Handle11321746

    CAS  PubMed  Google Scholar 

  21. TH Kim YM Kim CH Suh et al. (2000) ArticleTitleHelical CT angiography and three-dimensional reconstruction of total anomalous pulmonary venous connections in neonates and infants AJR Am J Roentgenol 175 1381–1386 Occurrence Handle1:STN:280:DC%2BD3M%2FisVyiuw%3D%3D Occurrence Handle11044048

    CAS  PubMed  Google Scholar 

  22. E Konen L Raviv-Zilka RA Cohen et al. (2003) ArticleTitleCongenital pulmonary venolobar syndrome: spectrum of helical CT findings with emphasis on computerized reformatting Radiographics 23 1175–1184 Occurrence Handle12975508

    PubMed  Google Scholar 

  23. HW Goo YH Kim JK Ko IS Park CH Yoon (2002) ArticleTitleHorseshoe lung: useful angiographic and bronchographic images using multidetector-row spiral CT in two infants Pediatr Radiol 32 529–532 Occurrence Handle10.1007/s00247-002-0705-8 Occurrence Handle12107588

    Article  PubMed  Google Scholar 

  24. G Gulati S Sharma (2003) ArticleTitleA rare form of supracardiac total anomalous pulmonary venous drainage–evaluation by computed tomography and magnetic resonance imaging Clin Radiol 58 172–175 Occurrence Handle1:STN:280:DC%2BD3s7htVClsw%3D%3D Occurrence Handle12623052

    CAS  PubMed  Google Scholar 

  25. SJ Chen JK Wang YW Li IS Chiu CT Su HC Lue (2001) ArticleTitleValidation of pulmonary venous obstruction by electron beam computed tomography in children with congenital heart disease Am J Cardiol 87 589–593 Occurrence Handle1:STN:280:DC%2BD3M7osVKktQ%3D%3D Occurrence Handle11230844

    CAS  PubMed  Google Scholar 

  26. WS Kim KM Yeon I Kim MC Han JG Chi (1993) ArticleTitleRadiological evaluation of pulmonary vein obstruction including two examination by magnetic resonance imaging Pediatr Radiol 23 6–11 Occurrence Handle1:STN:280:ByyB38nksFU%3D Occurrence Handle8469597

    CAS  PubMed  Google Scholar 

  27. LE Heyneman RL Nolan JK Harrison HP McAdams (2001) ArticleTitleCongenital unilateral pulmonary vein atresia: radiologic findings in three adult patients AJR Am J Roentgenol 177 681–685 Occurrence Handle1:STN:280:DC%2BD3MvotF2gsA%3D%3D Occurrence Handle11517073

    CAS  PubMed  Google Scholar 

  28. EM Marom JE Herndon YH Kim HP McAdams (2004) ArticleTitleVariations in pulmonary venous drainage to the left atrium: implications for radiofrequency ablation Radiology 230 824–829 Occurrence Handle14739316

    PubMed  Google Scholar 

  29. JM Lacomis W Wigginton C Fuhrman D Schwartzman DR Armfield KM Pealer (2003) ArticleTitleMulti-detector row CT of the left atrium and pulmonary veins before radio-frequency catheter ablation for atrial fibrillation Radiographics 23 S35–S48 Occurrence Handle14557500

    PubMed  Google Scholar 

  30. J Remy M Remy-Jardin F Giraud L Wattinne (1994) ArticleTitleAngioarchitecture of pulmonary arteriovenous malformations: clinical utility of three-dimensional helical CT Radiology 191 657–664 Occurrence Handle1:STN:280:ByuB2c%2Fislc%3D Occurrence Handle8184042

    CAS  PubMed  Google Scholar 

  31. H Hamada M Terai Y Okajima H Niimi (1997) ArticleTitleAngiographical and computed tomographic findings in diffuse pulmonary arteriovenous fistulas Int J Cardiol 59 203–205 Occurrence Handle1:STN:280:ByiA3c7nvF0%3D Occurrence Handle9158177

    CAS  PubMed  Google Scholar 

  32. SH Kim JW Chung JG Im YW Choi YH Choe MC Han (1999) ArticleTitleSubaortic left innominate vein: radiologic findings and consideration of embryogenesis J Thorac Imaging 14 142–146 Occurrence Handle1:STN:280:DyaK1M3isFaitA%3D%3D Occurrence Handle10210491

    CAS  PubMed  Google Scholar 

  33. HS Bernstein P Moore P Stanger NH Silverman (1995) ArticleTitleThe levoatriocardinal vein: morphology and echocardiographic identification of the pulmonary-systemic connection J Am Coll Cardiol 26 995–1001 Occurrence Handle1:STN:280:BymD3cjjsVE%3D Occurrence Handle7560630

    CAS  PubMed  Google Scholar 

  34. Y Hamamichi F Ichida I Hashimoto et al. (2001) ArticleTitleIsolated noncompaction of the ventricular myocardium: ultrafast computed tomography and magnetic resonance imaging Int J Cardiovasc Imaging 17 305–314 Occurrence Handle1:STN:280:DC%2BD3MrltlSgsw%3D%3D Occurrence Handle11599870

    CAS  PubMed  Google Scholar 

  35. K Chen CH Thng (2001) ArticleTitleMultislice computed tomography and two-dimensional echocardiographic images of cor triatriatum in a (46-year-old man Circulation 104 2117 Occurrence Handle1:STN:280:DC%2BD3Mrms12qtw%3D%3D Occurrence Handle11673356

    CAS  PubMed  Google Scholar 

  36. SJ Chen YW Li JK Wang et al. (1998) ArticleTitleUsefulness of electron beam computed tomography in children with heterotaxy syndrome Am J Cardiol 81 188–194 Occurrence Handle1:STN:280:DyaK1c3lt1Kjsg%3D%3D Occurrence Handle9591903

    CAS  PubMed  Google Scholar 

  37. SJ Yoo TH Lim IS Park CY Hong MG Song SH Kim (1991) ArticleTitleDefects of the interventricular septum of the heart: en face MR imaging in the oblique coronal plane AJR Am J Roentgenol 157 943–946 Occurrence Handle1:STN:280:By2D38rns1c%3D Occurrence Handle1927812

    CAS  PubMed  Google Scholar 

  38. P Angelini JA Velasco S Flamm (2002) ArticleTitleCoronary anomalies: incidence, pathophysiology, and clinical relevance Circulation 105 2449–2454 Occurrence Handle10.1161/01.CIR.0000016175.49835.57 Occurrence Handle12021235

    Article  PubMed  Google Scholar 

  39. MS Dirksen JJ Bax NA Blom et al. (2002) ArticleTitleDetection of malignant right coronary artery anomaly by multi-slice CT coronary angiography Eur Radiol 12 S177–S180 Occurrence Handle12522635

    PubMed  Google Scholar 

  40. E Konen MS Feinberg B Morag et al. (2001) ArticleTitleGiant right coronary aneurysm: CT angiographic and echocardiographic findings AJR Am J Roentgenol 177 689–691 Occurrence Handle1:STN:280:DC%2BD3MvotF2gtg%3D%3D Occurrence Handle11517075

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Poongnap-2 dong, Songpa-gu, Seoul, Korea

    Hyun Woo Goo

  2. Department of Pediatric Cardiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Poongnap-2 dong, Songpa-gu, Seoul, Korea

    In-Sook Park, Jae Kon Ko & Young Hwee Kim

  3. Department of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Poongnap-2 dong, Songpa-gu, Seoul, Korea

    Dong-Man Seo & Jeong-Jun Park

Authors
  1. Hyun Woo Goo
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. In-Sook Park
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jae Kon Ko
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Young Hwee Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Dong-Man Seo
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Jeong-Jun Park
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hyun Woo Goo.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Goo, H.W., Park, IS., Ko, J.K. et al. Computed tomography for the diagnosis of congenital heart disease in pediatric and adult patients. Int J Cardiovasc Imaging 21, 347–365 (2005). https://doi.org/10.1007/s10554-004-4015-0

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10554-004-4015-0

Keywords

Search

Navigation