Validation of pulmonary venous obstruction by electron beam computed tomography in children with congenital heart disease

The American Journal of Cardiology
S J ChenH C Lue

Abstract

The purpose of this study was to explore the useful imaging findings of electron beam computed tomography (EBCT) for diagnosing pulmonary venous obstruction (PVO) in children with congenital heart disease. From July 1995 to March 1998, 17 children (9 girls and 8 boys, aged 7 days to 14 years and 9 months [median 3 months]) with the diagnosis of PVO were enrolled in this study. All images were obtained by EBCT at the end-diastolic phase of the cardiac cycle after administration of intravenous iodinated contrast medium. The findings of 25 EBCT studies were retrospectively analyzed by 2 radiologists and were correlated with echocardiography, angiocardiography, and surgical findings. Main findings on EBCT for PVO were (1) structural narrowing, (2) thickened interlobular septa, (3) peribronchovascular cuffing, and (4) ground-glass opacity of the alveoli. Structural narrowing along the course of the pulmonary venous drainage was the most important finding in all examinations (25 of 25). Lung parenchymal changes secondary to PVO included thickened interlobular septa (17 of 25), peribronchovascular cuffing (15 of 25), and ground-glass opacity of the alveoli (8 of 25). Thus, the combination of these findings provides very useful data fo...Continue Reading

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Citations

Oct 15, 2003·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Hyun Woo GooChong Hyun Yoon
Aug 22, 2008·AJR. American Journal of Roentgenology·Philip J SpevakElliot K Fishman
Sep 23, 2014·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Justin Cheng-Ta YangYiu-Wah Li
Dec 19, 2006·International Journal of Cardiology·Shyh-Jye ChenIng-She Chiu
Dec 24, 2004·Journal of Pediatric Surgery·Anita TalisettiMark J Holterman
Jun 2, 2004·Journal of Magnetic Resonance Imaging : JMRI·Lawrence M Boxt
Aug 10, 2006·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ulf H BeierCarlos E Ruiz
Jul 15, 2005·The International Journal of Cardiovascular Imaging·Hyun Woo GooJeong-Jun Park

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