Top

Published in:

01-02-2011 | Pictorial Essay

Haemodynamic findings on cardiac CT in children with congenital heart disease

Author: Hyun Woo Goo

Published in: Pediatric Radiology | Issue 2/2011

Abstract

In patients with congenital heart disease, haemodynamic findings demonstrated on cardiac CT might provide useful hints for understanding the haemodynamics of cardiac defects. In contrast to morphological features depicted on cardiac CT, such haemodynamic findings on cardiac CT have not been comprehensively reviewed in patients with congenital heart disease. This article describes normal haemodynamic phenomena of cardiovascular structures and various abnormal haemodynamic findings with their mechanisms and clinical significance on cardiac CT in patients with congenital heart disease.

Goo HW (2010) State-of-the-art CT imaging techniques for congenital heart disease. Korean J Radiol 11:4–18CrossRefPubMed

Goo HW, Park IS, Ko JK et al (2003) CT of congenital heart disease: normal anatomy and typical pathologic conditions. Radiographics 23:S147–165CrossRefPubMed

Goo HW, Park IS, Ko JK et al (2005) Computed tomography for the diagnosis of congenital heart disease in pediatric and adult patients. Int J Cardiovasc Imaging 21:347–365CrossRefPubMed

Goo HW, Park IS, Ko JK et al (2005) Visibility of the origin and proximal course of coronary arteries on non-ECG-gated heart CT in patients with congenital heart disease. Pediatr Radiol 35:792–798CrossRefPubMed

Leschka S, Oechslin E, Husmann L et al (2007) Pre- and postoperative evaluation of congenital heart disease in children and adults with 64-section CT. Radiographics 27:829–846CrossRefPubMed

Sena L, Goo HW (2008) Computed tomography in congenital heart disease. In: Donoghue V (ed) Radiological imaging of the neonatal chest, 2nd edn. Springer, Berlin, pp 319–346CrossRef

Yang DH, Goo HW, Seo DM et al (2008) Multislice CT angiography of interrupted aortic arch. Pediatr Radiol 38:89–100CrossRefPubMed

Goo HW, Seo DM, Yun TJ et al (2009) Coronary artery anomalies and clinically important anatomy in patients with congenital heart disease. Pediatr Radiol 39:265–273CrossRefPubMed

Goo HW, Yang DH (2010) Coronary artery visibility in free-breathing young children with congenital heart disease on cardiac 64-slice CT: dual-source ECG-triggered sequential scan vs. single-source non-ECG-synchronized spiral scan. Pediatr Radiol 40:1670–1680CrossRefPubMed

10.

Goo HW (2010) CT in pediatric heart disease. In: Saremi F, Achenbach S, Arbustini E et al (eds) Revisiting cardiac anatomy: a computed-tomography-based atlas and reference. Wiley-Blackwell, Chichester, pp 76–84

11.

Kim YM, Yoo SJ, Kim TH et al (2002) Three-dimensional computed tomography in children with compression of the central airways complicating congenital heart disease. Cardiol Young 12:44–50CrossRefPubMed

12.

Goo HW (2004) Evaluation of the airways in patients with congenital heart disease using multislice CT. J Korean Pediatr Cardiol Soc 8:37–43

13.

Choo KS, Lee HD, Ban JE et al (2006) Evaluation of obstructive airway lesions in complex congenital heart disease using composite volume-rendered images from multislice CT. Pediatr Radiol 36:219–223CrossRefPubMed

14.

Jhang WK, Park JJ, Seo DM et al (2008) Perioperative evaluation of airways in patients with arch obstruction and intracardiac defects. Ann Thorac Surg 85:1753–1758CrossRefPubMed

15.

Goo HW, Jhang WK, Kim YH et al (2008) CT findings of plastic bronchitis in children after Fontan operation. Pediatr Radiol 38:989–993CrossRefPubMed

16.

Merkle EM, Gilkeson RC (2005) Remnants of fetal circulation: appearance on MDCT in adults. AJR 185:541–549PubMed

17.

Funabashi N, Asano M, Sekine T et al (2006) Direction, location, and size of shunt flow in congenital heart disease evaluated by ECG-gated multislice computed tomography. Int J Cardiol 112:399–404CrossRefPubMed

18.

Kim YJ, Hur J, Choe KO et al (2008) Interatrial shunt detected in coronary computed tomography angiography: differential features of a patent foramen ovale and an atrial septal defect. J Comput Assist Tomogr 32:663–667CrossRefPubMed

19.

Tsai IC, Lee T, Chen MC et al (2007) Gradual pulmonary artery enhancement: new sign of septal defects on CT. AJR 188:1660–1664CrossRefPubMed

20.

Henk CB, Grampp S, Linnau KF et al (2003) Suspected pulmonary embolism: enhancement of pulmonary arteries at deep-inspiration CT angiography—influence of patent foramen ovale and atrial-septal defect. Radiology 226:749–755CrossRefPubMed

21.

Saremi F, Channual S, Raney A et al (2008) Imaging of patent foramen ovale with 64-section multidetector CT. Radiology 249:483–492CrossRefPubMed

22.

Soto B, Becker AE, Moulaert AJ et al (1980) Classification of ventricular septal defects. Br Heart J 43:332–343CrossRefPubMed

23.

Funabashi N, Rubin GD (2000) Qualitative blood flow differentiation: depiction of a left to right cardiac shunt across a ventricular septal defect using electron-beam computed tomography. Jpn Circ J 64:901–903CrossRefPubMed

24.

Khanna A, Litt HI (2004) ECG-gated MDCT of left-to-right shunt flow through a ventricular septal defect. AJR 183:1838PubMed

25.

Goitein O, Fuhrman CR, Lacomis JM (2005) Incidental finding on MDCT of patent ductus arteriosus: use of CT and MRI to assess clinical importance. AJR 184:1924–1931PubMed

26.

Chen JJ, Manning MA, Frazier AA et al (2009) CT angiography of the cardiac valves: normal, diseased, and postoperative appearances. Radiographics 29:1393–1412CrossRefPubMed

27.

Ocak I, Fuhrman C (2008) CT angiography findings of the left atrium and right ventricle in patients with massive pulmonary embolism. AJR 191:1072–1076CrossRefPubMed

28.

Ley-Zaporozhan J, Ley S, Kauczor HU (2008) Morphologic and functional imaging in COPD with CT and MRI: present and future. Eur Radiol 18:510–521CrossRefPubMed

29.

Modi KA, Annamali S, Ernest K et al (2006) Diagnosis and surgical correction of cor triatriatum in an adult: combined use of transesophageal and contrast echocardiography, and a review of literature. Echocardiography 23:506–509CrossRefPubMed

30.

MacMillan RM, Rees MR, Maranhao V et al (1986) Cine-computed tomography of cor triatriatum. J Comput Assist Tomogr 10:124–125CrossRefPubMed

31.

Hayabuchi Y, Inoue M, Watanabe N et al (2010) Assessment of systemic-pulmonary collateral arteries in children with cyanotic congenital heart disease using multidetector-row computed tomography: comparison with conventional angiography. Int J Cardiol 138:266–271CrossRefPubMed

32.

Remy-Jardin M, Bouaziz N, Dumont P et al (2004) Bronchial and nonbronchial systemic arteries at multi-detector row CT angiography: comparison with conventional angiography. Radiology 233:741–749CrossRefPubMed

33.

Ho HT, Horowitz AL, Ho AC (1999) Systemic to pulmonary venous connection (right-to-left shunt) in superior vena cava obstruction demonstrated by spiral CT. Br J Radiol 72:712–713PubMed

34.

Grayet D, Ghaye B, Szapiro D et al (2001) Systemic to pulmonary venous shunt in superior vena cava obstruction revealed on dynamic helical CT. AJR 176:211–213PubMed

35.

Ozbulbul NI, Yurdakul M, Tola M et al. (2009) CT angiography of systemic to pulmonary venous shunt in superior vena cava obstruction. Diagn Interv Radiol Oct 19 [Epub ahead of print]

36.

Lawler LP, Corl FM, Fishman EK (2002) Multidetector row and volume-rendered CT of the normal and accessory flow pathways of the thoracic systemic and pulmonary veins. Radiographics 22:S45–S60PubMed

37.

Goo HW, Yang DH, Park IS et al (2007) Time-resolved three-dimensional contrast-enhanced magnetic resonance angiography in patients who have undergone a Fontan operation or bidirectional cavopulmonary connection: initial experience. J Magn Reson Imaging 25:727–736CrossRefPubMed

38.

Yeh BM, Kurzman P, Foster E et al (2004) Clinical relevance of retrograde inferior vena cava or hepatic vein opacification during contrast-enhanced CT. AJR 183:1227–1232PubMed

39.

Francone M, Dymarkowski S, Kalantzi M et al (2005) Real-time cine MRI of ventricular septal motion: a novel approach to assess ventricular coupling. J Magn Reson Imaging 21:305–309CrossRefPubMed

40.

Ghersin E, Lessick J, Litmanovich D et al (2004) Septal bounce in constrictive pericarditis. Diagnosis and dynamic evaluation with multidetector CT. J Comput Assist Tomogr 28:676–678CrossRefPubMed

41.

Dellegrottaglie S, Sanz J, Poon M et al (2007) Pulmonary hypertension: accuracy of detection with left ventricular septal-to-free wall curvature ratio measured at cardiac MR. Radiology 243:63–69CrossRefPubMed

Title: Haemodynamic findings on cardiac CT in children with congenital heart disease
Author: Hyun Woo Goo
Publication date: 01-02-2011
Publisher: Springer-Verlag
Published in: Pediatric Radiology / Issue 2/2011
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-010-1886-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Haemodynamic findings on cardiac CT in children with congenital heart disease

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2011

Williams-Beuren syndrome: historical aspects

Radiation dose for thoracic and coronary step-and-shoot CT using a 128-slice dual-source machine in infants and small children with congenital heart disease

Bowel sonography in sepsis with pathological correlation: an experimental study

Hydranencephaly associated with cerebellar involvement and bilateral microphthalmia and colobomas

Hermes

An unusual case of hydranencephaly presenting with an anterior midline cyst, a posterior calcified mass, cerebellar hypoplasia and occlusion of the posterior cerebral arteries