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Optimizing Cardiac CTA Acquisition in Congenital Heart Disease

  • Dianna M. E. Bardo
Cardiovascular Imaging (K Ordovas, Section Editor)
  • 24 Downloads
Part of the following topical collections:
  1. Cardiovascular Imaging

Abstract

Purpose of Review

The purpose of this review of performance of cardiac computed tomographic angiography (CCTA) in patients with congenital heart disease (CHD) is to describe a strategy for optimizing CCTA protocols for various forms of CHD at diagnosis and throughout the lifetime of a patient.

Recent Findings

Recent expert consensus statements provide key recommendations for patient selection and technical performance of CCTA with tips to optimize contrast injection, scan acquisition, and understanding anatomy and postoperative changes in patients with CHD. Spectral CT will become invaluable in acquiring image data which has potential for enabling improved image quality and perhaps physiologic information.

Summary

CCTA is an important non-invasive imaging modality for making initial diagnosis and providing follow-up imaging in patients of all ages with CHD. Optimization of imaging protocols requires combined expertise in all forms of CHD, surgical palliation procedures, and knowledge of surgical options for CHD surgery.

Keywords

Congenital heart disease Cardiac CTA Cardiac CT IV contrast Congenital heart disease surgery 

Abbreviations

AAo

Ascending aorta

ASD

Atrial septal defect

AV

Aortic valve

CCTA

Cardiac computed tomographic angiography

CHD

Congenital heart disease

DAo

Descending aorta

DORV

Double outlet right ventricle

HLHS

Hypoplastic left heart syndrome

HRH

Hypoplastic right heart

IVC

Inferior vena cava

LA

Left atrium

LCAPA

Left coronary artery from the pulmonary artery

LPA

Left pulmonary artery

LV

Left ventricle

MAPCA

Major aortopulmonary collateral arteries

MPA

Main pulmonary artery

PA

Pulmonary artery

PAPVC

Partial anomalous pulmonary venous connection

PI

Pulmonary valve insufficiency

PICC

Peripherally inserted central catheter

PV

Pulmonary valve

RA

Right atrium

RCAPA

Right coronary artery from the pulmonary artery

RPA

Right pulmonary artery

RV

Right ventricle

RVOT

Right ventricular outflow tract

SVC

Superior vena cava

TAPVC

Total anomalous pulmonary venous connection

TGA

Transposition of the great arteries dextro (d-TGA) levo (l-TGA)

TOF

Tetralogy of Fallot

UVC

Umbilical venous catheter

VSD

Ventricular septal defect

Notes

Compliance with Ethical Guidelines

Conflict of interest

Dianna M.E. Bardo reports honoraria from Koninklijke Philips Electronics, NV and royalties from Thieme Publishing and Springer Publishing.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Phoenix Children’s HospitalPhoenixUSA

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