Diagnostic tools in the preoperative evaluation of children with anomalous pulmonary venous connections

The International Journal of Cardiovascular Imaging
Tayfun UçarAdnan Uysalel

Abstract

Pulmonary venous abnormalities are generally diagnosed by echocardiography and often confirmed by cardiac catheterization. Although angiography has been the gold standard for evaluation it carries certain inherent risks, especially in small and sick infants. In this study we retrospectively assessed the utility of magnetic resonance angiography (MRA) and computed tomography angiography (CTA) in the evaluation of pulmonary venous abnormalities in pediatric patients. The results were compared with operative findings. We reviewed nine patients with total APVC and four with partial APVC. Twelve patients were infant (age range: 1 day to 8 months) and the other was 16 years old. MRA and/or CTA clearly visualized the anomalous drainage of pulmonary veins in all patients. Cardiac catheterization was performed five patients with one total anomalous pulmonary venous connection and four with partial anomalous pulmonary venous connection. Ten patients were operated on. Diagnoses of patients were confirmed by operative findings. In Conclusions, MR and CT angiography allow detailed and comprehensive evaluation of the APVC and are good diagnostic modalities for use in the preoperative assessment of the anomaly in pediatric patients.

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Citations

Nov 5, 2009·Cardiology in the Young·Anthony Marcus HlavacekGirish S Shirali
May 21, 2010·Journal of Cardiothoracic Surgery·Hirofumi KasaharaRyohei Yozu
Apr 22, 2009·AJR. American Journal of Roentgenology·Jonathan R DillmanRamiro J Hernandez
Jan 25, 2013·AJR. American Journal of Roentgenology·Juan Manuel Bonelli-SicaEric Kimura-Hayama
Feb 3, 2009·Pediatric Cardiology·Eugénie Marie-Christine RiesenkampffTitus Kuehne
Jul 1, 2008·Magnetic Resonance Imaging Clinics of North America·Fernando R GutiérrezMarilyn J Siegel
Jul 17, 2012·Pediatric Cardiology·Jason AguirreRobert Stewart
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Aug 17, 2010·Journal of Thoracic Imaging·Anthony Marcus Hlavacek
Feb 24, 2012·Revista brasileira de cirurgia cardiovascular : órgão oficial da Sociedade Brasileira de Cirurgia Cardiovascular·Ulisses Alexandre CrotiDomingo Marcolino Braile

Related Concepts

Teens
Radiographic contrast media
Congenital Heart Defects
Goals of Care
Pulmonary Veins
Retrospective Studies
Tomography, X-Ray Computerized Axial
Coronary Angiography
Perfusion Magnetic Resonance Imaging

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