Partial anomalous pulmonary venous drainage in young pediatric patients: the role of magnetic resonance imaging

Pediatric Cardiology
Eugénie RiesenkampffTitus Kuehne


Studies of larger patient groups for systematic assessment of the anatomical accuracy of magnetic resonance imaging (MRI) for partial anomalous pulmonary venous drainage (PAPVD) have been performed so far only in adults. This study was undertaken to evaluate whether MRI can precisely depict pulmonary venous anatomy in infants and young children. Data on 26 children under 10 years old that underwent MRI over the past 2 years for suspected PAPVD were assessed. The MRI protocol included shunt quantification by velocity-encoded cine as well as morphological and functional assessment by multislice multiphase and contrast-enhanced MR techniques. MRI was performed in the compliant patient in breath-hold (n = 8; age range, 4.6-9.5 years) and in the noncompliant patient in conscious-sedation free breathing (n = 18; age range, 0.4 to 7.5 years). In 22 patients, PAPVD was diagnosed with MRI and confirmed during surgery. In four patients with large atrial septal defects not accessible to percutaneous closure, normal pulmonary venous return was demonstrated by MRI and confirmed during surgery. MRI under conscious sedation accurately specifies the anatomy of pulmonary veins in infants and small children. Therefore, we suggest performing MRI ...Continue Reading


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Related Concepts

Magnetization Transfer Contrast Imaging
Pulmonary Circulation
Pulmonary Veins
Cardiovascular Abnormalities
Cranial Sinuses
Atrial Septal Defects
Magnetic Resonance Imaging
Structure of Superior Left Pulmonary Vein
Sedated State

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