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01-09-2009 | Original Article

Multidetector CT evaluation of total anomalous pulmonary venous connections: comparison with echocardiography

Authors: Ki Ho Oh, Ki Seok Choo, Soo Jin Lim, Hyoung Doo Lee, Ji Ae Park, Min Jung Jo, Si Chan Sung, Yun Hee Chang, Dong Wook Jeong, Siho Kim

Published in: Pediatric Radiology | Issue 9/2009

Abstract

Background

Although echocardiography is the first-line imaging modality in the diagnosis of total anomalous pulmonary venous connection (TAPVC), multidetector CT (MDCT) could have advantages in the diagnosis of TAPVC in certain cases.

Objective

To compare MDCT with echocardiography in the evaluation of TAPVC.

Materials and methods

Enrolled in the study were 23 patients with surgically proven TAPVC. The echocardiography and MDCT findings were independently interpreted by a paediatric cardiologist and cardiac radiologist in terms of: (1) the drainage site of the common pulmonary vein, (2) stenosis of the vertical vein, and (3) the course of the atypical vessel into the systemic vein in the case of vertical vein stenosis. The findings from both modalities were correlated with the results obtained at surgery (n=22) or autopsy (n=1).

Results

In all patients, MDCT correctly depicted the drainage site of the common pulmonary vein, stenosis of the vertical vein and the course of the atypical vessel into the systemic vein (sensitivity 100%, specificity 100%). The specificity of echocardiography was 100% for the three defined findings. The sensitivity of echocardiography, however, was 87%, 71% and 0%, respectively.

Conclusion

MDCT can facilitate the diagnosis of TAPVC in certain cases.

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Title: Multidetector CT evaluation of total anomalous pulmonary venous connections: comparison with echocardiography
Authors: Ki Ho Oh
Ki Seok Choo
Soo Jin Lim
Hyoung Doo Lee
Ji Ae Park
Min Jung Jo
Si Chan Sung
Yun Hee Chang
Dong Wook Jeong
Siho Kim
Publication date: 01-09-2009
Publisher: Springer-Verlag
Published in: Pediatric Radiology / Issue 9/2009
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-009-1309-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Multidetector CT evaluation of total anomalous pulmonary venous connections: comparison with echocardiography

Abstract

Background

Objective

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Objective

Materials and methods

Results

Conclusion

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