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Évaluation de la fonction du ventricule droit par l’imagerie en coupes

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Imagerie en coupes du cœur et des vaisseaux

Résumé

Les difficultés d’analyse du ventricule droit (VD) par échocardiographie sont bien connues. Dans ce domaine, l’avantage de l’imagerie en coupe réside dans l’absence de toute modélisation géométrique pour quantifier les volumes et la fonction systolique du VD. En outre, l’IRM offre une quantification des flux très utile pour estimer les fuites pulmonaires ou tricuspides et pour quantifier le rapport des débits Qp/Qs. Les applications cliniques essentielles concernent: l’HTAP, l’infarctus du VD, la dysplasie du VD et surtout les cardiopathies congénitales de l’adulte altérant le VD. Le scanner cardiaque offre une résolution spatiale supérieure à l’IRM, mais sa place pratique reste limitée dans les pathologies du VD car l’approche fonctionnelle est inférieure à celle de l’IRM et en raison de la nécessité d’injection d’un produit de contraste iodé ainsi que de son caractère irradiant.

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Références

  1. Tandri H, Daya SK, Nasir K, et al. (2006) Normal reference values for the adult right ventricle by magnetic resonance imaging. Am J Cardiol 98(12): 1660–4

    Article  PubMed  Google Scholar 

  2. Alfakih K, Plein S, Thiele H, et al. (2003) Normal human left and right ventricular dimensions for MRI as assessed by turbo gradient echo and steady-state free precession imaging sequences. J Magn Reson Imaging 17(3): 323–9

    Article  PubMed  Google Scholar 

  3. James SH, Wald R, Wintersperger BJ, et al. (2012) Accuracy of Right and Left Ventricular Functional Assessment by Short-Axis vs Axial Cine Steady-State Free-Precession Magnetic Resonance Imaging: Intrapatient Correlation with Main Pulmonary Artery and Ascending Aorta Phase-Contrast Flow Measurements. Can Assoc Radiol J [Epub ahead of print]

    Google Scholar 

  4. Marcus FI, McKenna WJ, Sherrill D, et al. (2010) Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the task force criteria. Circulation 121(13): 1533–41

    Article  PubMed  Google Scholar 

  5. Maceira AM, Prasad SK, Khan M, et al. (2006) Reference right ventricular systolic and diastolic function normalized to age, gender and body surface area from steady-state free precession cardiovascular magnetic resonance. Eur Heart J 27(23): 2879–88

    Article  PubMed  Google Scholar 

  6. Buechel EV, Kaiser T, Jackson C, et al. (2009) Normal right-and left ventricular volumes and myocardial mass in children measured by steady state free precession cardiovascular magnetic resonance. J Cardiovasc Magn Reson 11: 19

    Article  PubMed  Google Scholar 

  7. Caudron J, Fares J, Lefebvre V, et al. (2012) Cardiac MRI assessment of right ventricular function in acquired heart disease: factors of variability. Acad Radiol 19(8): 991–1002

    Article  PubMed  Google Scholar 

  8. Fratz S, Schuhbaeck A, Buchner C, et al. (2009) Comparison of accuracy of axial slices versus short-axis slices for measuring ventricular volumes by cardiac magnetic resonance in patients with corrected tetralogy of fallot. Am J Cardiol 103(12): 1764–9

    Article  PubMed  Google Scholar 

  9. Sievers B, Addo M, Franken U, et al. (2004) Right ventricular wall motion abnormalities found in healthy subjects by cardiovascular magnetic resonance imaging and characterized with a new segmental model. J Cardiovasc Magn Reson 6(3): 601–8

    Article  PubMed  Google Scholar 

  10. Goetschalckx K, Rademakers F, Bogaert J (2010) Right ventricular function by MRI. Curr Opin Cardiol 25(5): 451–5

    Article  PubMed  Google Scholar 

  11. Francone M, Dymarkowski S, Kalantzi M, et al. (2006) Assessment of ventricular coupling with real-time cine MRI and its value to differentiate constrictive pericarditis from restrictive cardiomyopathy. Eur Radiol 16: 944–51

    Article  PubMed  Google Scholar 

  12. Basso C, Corrado D, Marcus FI, et al. (2009) Arrhythmogenic right ventricular cardiomyopathy. Lancet 373(9671): 1289–300

    Article  PubMed  Google Scholar 

  13. McCann GP, Gan CT, Beek AM, et al. (2007) Extent of MRI delayed enhancement of myocardial mass is related to right ventricular dysfunction in pulmonary artery hypertension. AJR Am J Roentgenol 188(2): 349–55

    Article  PubMed  Google Scholar 

  14. Sanz J, Kuschnir P, Rius T, et al. (2007) Pulmonary arterial hypertension: noninvasive detection with phase-contrast MR imaging. Radiology 243(1): 70–9

    Article  PubMed  Google Scholar 

  15. Kumar A, Abdel-Aty H, Kriedemann I, et al. (2006) Contrast-enhanced cardiovascular magnetic resonance imaging of right ventricular infarction. J Am Coll Cardiol 48(10): 1969–76

    Article  PubMed  Google Scholar 

  16. Jensen CJ, Jochims M, Hunold P, et al. (2010) Right ventricular involvement in acute left ventricular myocardial infarction: prognostic implications of MRI findings. Am J Roentgenol 194(3): 592–8

    Article  Google Scholar 

  17. Kafka H, Mohiaddin RH (2009) Cardiac MRI and pulmonary MR angiography of sinus venosus defect and partial anomalous pulmonary venous connection in cause of right undiagnosed ventricular enlargement. AJR Am J Roentgenol 192: 259–66

    Article  PubMed  Google Scholar 

  18. Therrien J, Provost Y, Merchant N, et al. (2005) Optimal timing for pulmonary valve replacement in adults after tetralogy of Fallot repair. Am J Cardiol 95(6): 779–82

    Article  PubMed  Google Scholar 

  19. Lee C, Kim YM, Lee CH, et al. (2012) Outcomes of Pulmonary Valve Replacement in 170 Patients With Chronic Pulmonary Régurgitation After Relief of Right Ventricular Outflow Tract Obstruction: Implications for Optimal Timing of Pulmonary Valve Replacement. J Am Coll Cardiol 60(11): 1005–14

    Article  PubMed  Google Scholar 

  20. Grothoff M, Hoffmann J, Abdul-Khaliq H, et al. (2012) Right ventricular hypertrophy after atrial switch operation: normal adaptation process or risk factor? A cardiac magnetic resonance study. Clin Res Cardiol 101(12): 963–71

    Article  PubMed  Google Scholar 

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Correspondence to P. Germain .

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© 2013 Springer-Verlag Paris

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Germain, P., El-Ghannudi-Abdo, S., Jeung, MY. (2013). Évaluation de la fonction du ventricule droit par l’imagerie en coupes. In: Boyer, L., Guéret, P. (eds) Imagerie en coupes du cœur et des vaisseaux. Springer, Paris. https://doi.org/10.1007/978-2-8178-0435-4_16

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  • DOI: https://doi.org/10.1007/978-2-8178-0435-4_16

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0434-7

  • Online ISBN: 978-2-8178-0435-4

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