Optimizing Cardiac CTA Acquisition in Congenital Heart Disease

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


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.


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.


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



Ascending aorta


Atrial septal defect


Aortic valve


Cardiac computed tomographic angiography


Congenital heart disease


Descending aorta


Double outlet right ventricle


Hypoplastic left heart syndrome


Hypoplastic right heart


Inferior vena cava


Left atrium


Left coronary artery from the pulmonary artery


Left pulmonary artery


Left ventricle


Major aortopulmonary collateral arteries


Main pulmonary artery


Pulmonary artery


Partial anomalous pulmonary venous connection


Pulmonary valve insufficiency


Peripherally inserted central catheter


Pulmonary valve


Right atrium


Right coronary artery from the pulmonary artery


Right pulmonary artery


Right ventricle


Right ventricular outflow tract


Superior vena cava


Total anomalous pulmonary venous connection


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


Tetralogy of Fallot


Umbilical venous catheter


Ventricular septal defect


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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