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Published in:

01-04-2010 | Riley Symposium

Conotruncal Cardiac Defects: A Clinical Imaging Perspective

Author: Tiffanie R. Johnson

Published in: Pediatric Cardiology | Issue 3/2010

Abstract

Conotruncal cardiac defects make up a significant portion of congenital heart disease. For proper diagnosis and subsequent care of patients with these defects, different and sometimes multiple imaging modalities are needed at various stages of care. This article reviews the characteristics of some of the most common conotruncal defects and the imaging options available along with the advantages and disadvantages of each. Intricate knowledge of the capabilities of each modality will aid the practitioner in making optimal clinical decisions.

Geva T (2006) Indications and timing of pulmonary valve replacement after tetralogy of Fallot repair. Semin Thorac Cardiovasc Surg Pediatr Card Surg Ann 9:11–22CrossRef

Geva T, Powell AJ (2008) Magnetic resonance imaging. In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF (eds) Moss and Adams’ heart disease in infants, children, and adolescents, 7th edn. Lippincott, Philadelphia, PA, pp 163–199

Grothues F, Moon JC, Bellenger NG, Smith GS (2004) Interstudy reproducibility of right ventricular volumes, function, and mass with cardiovascular magnetic resonance. Am Heart J 147:218–223CrossRefPubMed

Khairy P, Landzberg MJ, Lambert J et al (2004) Long-term outcomes after the atrial switch for surgical correction of transposition: a meta-analysis comparing the Mustard and Senning procedures. Cardiol Young 14:284–292CrossRefPubMed

Kleinman CS, Glickstein JS, Shaw R (2008) Fetal echocardiography and fetal cardiology. In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF (eds) Moss and Adams’ heart disease in infants, children, and adolescents, 7th edn. Lippincott, Philadelphia, PA, pp 592–617

Lorenz CH, Walker WS, Graham TP et al (1995) Right ventricular performance and mass by use of cine MRI late after atrial repair of transposition of the great arteries. Circulation 92:233–239

Moons P, Bewillig M, Sluysmans T et al (2004) Long term outcome up to 30 years after the Mustard or Senning operation: a nationwide multicentre study in Belgium. Heart 90:307–313CrossRefPubMed

Niwa K, Perloff JK, Bhuta SM et al (2001) Structural abnormalities of great arterial walls in congenital heart disease. Circulation 103:393–400PubMed

Niwa K, Siu SC, Webb GD et al (2002) Progressive aortic root dilatation in adults late after repair of tetralogy of Fallot. Circulation 106:1374–1378CrossRefPubMed

10.

Pennel DJ, Sechtem UP, Higgins CB et al (2004) Clinical indications for cardiovascular magnetic resonance: consensus panel report. Eur Heart J 25:1940–1965CrossRef

11.

Perry LW, Neill CA, Ferencz C (1993) Infants with congenital heart disease: The cases. In: Ferencz C, Rubin JD, Loffredo CA et al (eds) Perspectives in pediatric cardiology. Epidemiology of congenital heart disease, the Baltimore-Washington Infant Study 1981–1989. Futura, Armonk, NY, pp 33–62

12.

Rathi VK, Doyle M, Williams RB et al (2005) Massive aortic aneurysm and dissection in repaired tetralogy of Fallot: diagnosis by cardiovascular magnetic resonance imaging. Int J Cardiol 101:169–170CrossRefPubMed

13.

Roos-Hesselink JW, Meijboom FJ, Spitaels SEC et al (2004) Decline in ventricular function and clinical condition after Mustard repair for transposition of the great arteries (a prospective study of 22–29 years). Eur Heart J 25:1264–1270CrossRefPubMed

14.

Schroeder S, Achenbach S, Bengel F et al (2008) Cardiac computed tomography: indications, applications, limitations, and training requirements. Eur Heart J 29:531–556CrossRefPubMed

15.

Siwik ES, Erenberg F, Zahka K (2008) Tetralogy of Fallot. In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF et al (eds) Moss and Adams’ heart disease in infants, children, and adolescents, 7th edn. Lippincott, Philadelphia, PA, p 515

16.

Sridaramont S, Ritter DG, Feldt RH (1976) Double-outlet right ventricle: anatomic and angiocardiographic correlations. Am J Cardiol 38:85–94CrossRef

17.

Srivastava D, Baldwin HS (2008) Molecular determinants of cardiac development and disease. In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF (eds) Moss and Adams’ heart disease in infants, children, and adolescents, 7th edn. Lippincott, Philadelphia, PA, p 515

18.

Therrien J, Provost Y, Merchant N et al (2005) Optimal timing for pulmonary valve replacement in adults after tetralogy of Fallot repair. Am J Cardiol 95:779–782CrossRefPubMed

19.

Valsangiacomo Buechel ER, Dave HH, Kellenberger CJ et al (2005) Remodelling of the right ventricle after early pulmonary valve replacement in children with repaired tetralogy of Fallot: assessment by cardiovascular magnetic resonance. Eur Heart J 26:2721–2727CrossRef

20.

Van Praagh R, Van Praagh S (1965) The anatomy of common aorticopulmonary trunk (truncus areterosus communis) and its embryologic implications: a study of 57 necropsy cases. Am J Cardiol 16:406–425CrossRefPubMed

21.

Vliegen HW, van Straten A, de Roos A et al (2002) Magnetic resonance imaging to assess the hemodynamic effects of pulmonary valve replacement in adults late after repair of tetralogy of Fallot. Circulation 106:1703–1707CrossRefPubMed

22.

Wernovsky G (2008) Transposition of the great arteries. In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF (eds) Moss and Adams’ heart disease in infants, children, and adolescents, 7th edn. Lippincott, Philadelphia, PA, pp 1038–1087

23.

Yetman AT, Graham TG (2009) The dilated aorta in patients with congenital cardiac defects. J Am Coll Cardiol 53:461–467CrossRefPubMed

24.

Zucker N, Rozin I, Levitas A et al (2004) Clinical presentation, natural history, and outcome of patient with the absent pulmonary valve syndrome. Cardiol Young 14:402–408CrossRefPubMed

Title: Conotruncal Cardiac Defects: A Clinical Imaging Perspective
Author: Tiffanie R. Johnson
Publication date: 01-04-2010
Publisher: Springer-Verlag
Published in: Pediatric Cardiology / Issue 3/2010
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI: https://doi.org/10.1007/s00246-010-9668-y

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