Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Japanese Journal of Radiology
Published in: Japanese Journal of Radiology 4/2019

01-04-2019 | Computed Tomography | Original Article

Evaluation of coronary artery variations using dual-source coronary computed tomography angiography in neonates with transposition of the great arteries

Authors: Yuko Odawara, Nobuko Kawamura, Yuzo Yamasaki, Joji Hashimoto, Shiro Ishikawa, Hiroshi Honda

Published in: Japanese Journal of Radiology | Issue 4/2019

Login to get access

Abstract

Objective

The purpose of this study was to investigate whether the origins and courses of the coronary arteries could be better assessed using ECG-gated dual-source computed tomography (CT) than with echocardiography in neonates with transposition of the great arteries (TGA).

Methods

A total of 17 neonates within 14 days old who underwent both echocardiography and retrospective ECG-gated coronary CT angiography were retrospectively reviewed. The patients were sedated and intubated during CT examinations, and CT images were obtained with a breath-hold. CT images were reconstructed by multiple cardiac phases, and the coronary artery assessment was performed in the most static phase. Coronary anomalies were classified by Shaher’s classification and validated by surgical findings.

Results

CT correctly classified 16 of 17 cases (Shaher type 1: 7, type 2: 4, type 9: 3, type 3: 1, type 4: 2), whereas echocardiography classified only 8 of 17 cases correctly. Dual-source CT had a significantly higher diagnostic ability than echocardiography (p = 0.0078).

Conclusion

Dual-source coronary CT angiography has a higher diagnostic ability than echocardiography in the assessment of the origins and courses of the coronary arteries in neonates with TGA.
Literature
1.
Hoffman JIE, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol. 2002;39:1890–900.CrossRefPubMed
2.
Ferencz C, Rubin JD, Loffredo CA, et al. Epidemiology of congenital heart disease: the Baltimore–Washington Infant Study, 1981–1989. Mount Kisco: Futura Publishing; 1993.
3.
Fyler DC, Buckley LP, Hellenbrand WE, et al. Report of the New England Regional Infant Cardiac Program. Pediatrics. 1980;65(suppl):375–461.
4.
Samanek M. Congenital heart malformations: prevalence, severity, survival, and quality of life. Cardiol Young. 2000;10:179–85.CrossRefPubMed
5.
Ferencz C, Rubin JD, McCarter RJ, et al. Congenital heart disease: prevalence at livebirth. Am J Epidemiol. 1985;121:31–6.CrossRefPubMed
6.
Samanek M, Voriskova M. Congenital heart disease among 815,569 children born between 1980 and 1990 and their 15-year survival: a prospective Bohemia survival study. Pediatr Cardiol. 1999;20:411–7.CrossRefPubMed
7.
Angeli E, Formigari R, Pace Napoleone C, Oppido G, Ragni L, Picchio FM, Gargiulo G. Long-term coronary artery outcome after arterial switch operation for transposition of the great arteries. Eur J Cardiothorac Surg. 2010;38(6):714–20.CrossRefPubMed
8.
Khairy P, Clair M, Fernandes SM, Blume ED, Powell AJ, Newburger JW, Landzberg MJ, Mayer JE Jr. Cardiovascular outcomes after the arterial switch operation for D-transposition of the great arteries. Circulation. 2013;127(3):331–9.CrossRefPubMed
9.
Pasquali SK, Hasselblad V, Li JS, Kong DF, Sanders SP. Coronary artery pattern and outcome of arterial switch operation for transposition of the great arteries: a meta-analysis. Circulation. 2002;106(20):2575–80.CrossRefPubMed
10.
Goitein O, Salem Y, Jacobson J, et al. The role of cardiac computed tomography in infants with congenital heart disease. Israel Med Assoc. 2014;16:147–52.
11.
Tada A, Sato S, Kanie Y, et al. Image quality of coronary computed tomography angiography with 320-row area detector computed tomography in children with congenital heart disease. Pediatr Cardiol. 2016;37:497–503.CrossRefPubMed
12.
13.
Yamasaki Y, Kawanami S, Kamitani T et al. Patient-related factors influencing detectability of coronary arteries in 320- row CT angiography in infants with complex congenital heart disease. Int J Cardiovasc Imaging. 2018; [Epub ahead of print]. https://​doi.​org/​10.​1007/​s10554-018-1363-8.
14.
Chiu IS, Chu SH, Wang JK, Wu MH, Chen MR, Cheng CF, et al. Evolution of coronary artery pattern according to short-axis aortopulmonary rotation: a new categorization for complete transposition of the great arteries. J Am Coll Cardiol. 1995;26(1):250–8.CrossRefPubMed
15.
16.
American Association of Physicists in Medicine. Size-specific dose estimates (SSDE) in pediatric and adult body CT Examinations: report of AAPM Task Group 204. College Park: American Association of Physicists in Medicine; 2011.
17.
18.
Goo HW. Identification of coronary artery anatomy on dual-source cardiac computed tomography before arterial switch operation in newborns and young infants: comparison with transthoracic echocardiography. Pediatr Radiol. 2018;48(2):176–85.CrossRefPubMed
Metadata
Title
Evaluation of coronary artery variations using dual-source coronary computed tomography angiography in neonates with transposition of the great arteries
Authors
Yuko Odawara
Nobuko Kawamura
Yuzo Yamasaki
Joji Hashimoto
Shiro Ishikawa
Hiroshi Honda
Publication date
01-04-2019
Publisher
Springer Japan
Published in
Japanese Journal of Radiology / Issue 4/2019
Print ISSN: 1867-1071
Electronic ISSN: 1867-108X
DOI
https://doi.org/10.1007/s11604-018-00807-x

Other articles of this Issue 4/2019

Japanese Journal of Radiology 4/2019 Go to the issue

Original Article

Clinical and CT findings of small bowel obstruction caused by rice cakes in comparison with bezoars

Original Article

Initial clinical experience of a prototype ultra-high-resolution CT for assessment of small intracranial arteries

Original Article

The utility of transarterial embolization and computed tomography for life-threatening spontaneous retroperitoneal hemorrhage

Original Article

Treatment outcomes according to the macroscopic tumor type in locally advanced esophageal squamous cell carcinoma treated by chemoradiotherapy

Original Article

Radiation dose reduction using two orthogonal topograms associated with automatic tube voltage selection for lung CT scanning as compared with a single anteroposterior topogram

Original Article

Delayed appearance of transient hyperintensity foci on T1-weighted magnetic resonance imaging in acute disseminated encephalomyelitis