HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Figures Only Full Text Full Text (PDF) CME Test (opens in a new window) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Haramati, L. B. Articles by Crooke, G. A. Search for Related Content PubMed PubMed Citation Articles by Haramati, L. B. Articles by Crooke, G. A. Related Collections Cardiac Radiology Pediatric Radiology

MR Imaging and CT of Vascular Anomalies and Connections in Patients with Congenital Heart Disease: Significance in Surgical Planning¹

¹ From the Departments of Radiology (L.B.H., N.H.), Pediatric Cardiology (H.J.I.), and Cardiothoracic Surgery (G.A.C.), Albert Einstein College of Medicine and Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467; and the Division of Pediatric Cardiology, New York Presbyterian Hospital, Children’s Hospital of New York, and Columbia University, New York, NY (J.S.G.). Recipient of an Excellence in Design award for an education exhibit at the 2000 RSNA scientific assembly. Received May 24, 2001; revision requested July 5 and received July 26; accepted July 30. Address correspondence to L.B.H. (e-mail: lharamati@aecom.yu.edu).

To plan effective management of congenital heart disease, one needs the clearest understanding of the anatomy. Although echocardiography and angiography are the dominant imaging modalities in patients with congenital heart disease, magnetic resonance (MR) imaging and computed tomography (CT) are valuable noninvasive adjuncts. MR imaging and CT are effective in demonstrating the complex cardiovascular morphology present in congenital heart disease, especially the extracardiac morphology. In patients with tetralogy of Fallot with complex pulmonary artery anatomy, MR imaging and CT are useful in demonstrating the pulmonary artery anatomy, along with the significant aortopulmonary collateral vessels. In the heterotaxy syndromes, patients often have unusual atriovenous connections. MR imaging allows accurate identification of the hepatic, systemic, and pulmonary veins and their relationships to both atria. CT and MR are the imaging modalities of choice in a patient who is thought to have a vascular ring. Treatment of aortic coarctation is usually performed on the basis of typical clinical and echocardiographic findings. In patients with atypical clinical or echocardiographic findings, MR imaging and CT yield helpful information that can change the treatment plan. The enhanced preoperative understanding of congenital heart disease provided by MR imaging and CT simplifies surgical decision making and consequently may improve outcome.

© RSNA, 2002

Index Terms: Aorta, abnormalities, 562.154 • Aorta, stenosis or obstruction, 56.1511 • Heart, abnormalities, 50.1653 • Tetralogy of Fallot, 50.145

This article has been cited by other articles:

				S. Leschka, E. Oechslin, L. Husmann, L. Desbiolles, B. Marincek, M. Genoni, R. Pretre, R. Jenni, S. Wildermuth, and H. Alkadhi Pre- and Postoperative Evaluation of Congenital Heart Disease in Children and Adults with 64-Section CT RadioGraphics, May 1, 2007; 27(3): 829 - 846. [Abstract] [Full Text] [PDF]

				M. I. Boechat, O. Ratib, P. L. Williams, A. S. Gomes, J. S. Child, and V. Allada Cardiac MR Imaging and MR Angiography for Assessment of Complex Tetralogy of Fallot and Pulmonary Atresia RadioGraphics, November 1, 2005; 25(6): 1535 - 1546. [Abstract] [Full Text] [PDF]

				T. C. Demos, H. V. Posniak, K. L. Pierce, M. C. Olson, and M. Muscato Venous Anomalies of the Thorax Am. J. Roentgenol., May 1, 2004; 182(5): 1139 - 1150. [Full Text] [PDF]

				E. Konen, N. Merchant, Y. Provost, P. R. McLaughlin, J. Crossin, and N. S. Paul Coarctation of the Aorta Before and After Correction: The Role of Cardiovascular MRI Am. J. Roentgenol., May 1, 2004; 182(5): 1333 - 1339. [Full Text] [PDF]

				C. Sebastia, S. Quiroga, R. Boye, M. Perez-Lafuente, E. Castella, and A. Alvarez-Castells Aortic Stenosis: Spectrum of Diseases Depicted at Multisection CT RadioGraphics, October 1, 2003; 23(90001): S79 - 91. [Abstract] [Full Text] [PDF]

				H. W. Goo, I.-S. Park, J. K. Ko, Y. H. Kim, D.-M. Seo, T.-J. Yun, J.-J. Park, and C. H. Yoon CT of Congenital Heart Disease: Normal Anatomy and Typical Pathologic Conditions RadioGraphics, October 1, 2003; 23(90001): S147 - 165. [Abstract] [Full Text] [PDF]

				R. M. Steiner Invited Commentary RadioGraphics, July 1, 2002; 22(4): 905 - 906. [Full Text] [PDF]

				S. B. Greenberg and L. B. Haramati Invited Commentary * Author's Response RadioGraphics, March 1, 2002; 22(2): 348 - 349. [Full Text] [PDF]