Abstract
Modern radiological imaging has opened up new areas for precise diagnosis of congenital heart disease. The most important and frequently performed radiological examination is still chest radiography, but magnetic resonance imaging and multislice spiral computed tomography have gained much ground over the more invasive angiocardiography. Invasive studies are still needed in the more complex conditions or as postoperative controls, and also as a complement to the more and more frequently performed interventional procedures. In this chapter, the approach to patients with congenital heart and great vessel disease is presented. The different radiological modalities used to arrive at a proper diagnosis are discussed, together with their advantages and drawbacks. Examples of the most common congenital heart defects are given, and some very complex, rare cases that illustrate the need for a combination of different modalities are presented. Transcatheter interventional techniques will also be presented.
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References
Anderson RH, Becker AE (1994) The anatomy of ventricular septal defects and their conduction tissues. In : Stark J, de Laval M (eds) Surgery for congenital heart defects. Saunders, Philadelphia, pp 115–138
Anderson RH, Ho S Y (1990a) Cardiac situs and malpositions: echocardiographic evaluation. In: Higgins CB, Silverman NH, Kersting-Sommerhoff BA, Schmidt K (eds) Congenital heart disease. Echocardiography and magnetic resonance imaging. Raven, New York, pp 73–88
Anderson RH, Ho SY (1990b) Tomographic anatomy of the normal and congenitally malformed heart. In: Higgins CB, Silverman NH, Kersting-Sommerhoff BA, Schmidt K (eds) Congenital heart disease. Echocardiography and magnetic resonance imaging. Raven, New York, pp 1–36
Anderson RH, Webb S, Brown NA (1998) Defective lateralisation in children with congenitally malformed hearts. Cardiol Young 8:512–531
Balis JU, Chan AS, Conen PE (1967) Morphogenesis of human aortic coarctation. Exp Mol Pathol 6:25–28
Bharati S, Lev M (1984) The surgical anatomy of hypoplasia of aortic tract complex. J Thorac Cardiovasc Surg 88:97–101
Berdon WE (2000) Rings, slings, and other things: vascular compression of the infant trachea updated from the midcentury to the millennium — the legacy of Robert E Gross, MD, and Edward BD Neuhauser, MD. Radiology 216:624–632
Bjørnstad PG, Lindberg HL, Smevik B (1993) Staged expanding pulmonary artery band. Ann Thorac Surg 55:566–567
Bjornstad PG, Smevik B, Fiane AE et al (1997) Catheter-based closure of atrial septal defects with a newly developed nitinol double disc: an experimental study. Cardiol Young 7:220–224
Borghi A, Agnoletti G, Poggiani C (2001) Surgical cutdown of the right carotid artery for aortic balloon valvuloplasty in infancy: midterm follow-up. Pediatr Cardiol 22:194–197
Borthne A, Carteret M, Baraton J et al (1997) Vein of Galen vascular malformations in infants: clinical, radiological and therapeutic aspect. Eur Radiol 7:1252–1258
Burrows PE, Dubois J, Kassarjian A (2001) Pediatric hepatic vascular anomalies. Pediatr Radiol 31:533–545
Choe KO, Hong YK, Kim HJ et al (2000) The use of high-resolution computed tomography in the evaluation of pulmonary hemodynamics in patients with congenital heart disease: in pulmonary vessels larger than 1 mm in diameter. Pediatr Cardiol 21:202–210
Collett RW, Edwards JE (1949) Persistent truncus arteriosus: a classification according to anatomic types. Surg Clin North Am 29:1245–1270
Cornell SM (1966) Myocardial sinusoids in pulmonary valvular atresia. Radiology 86:421–424
de Laval M (1994) Persistent truncus arteriosus. In: Stark J, de Laval M (eds) Surgery for congenital heart defects. Saunders, Philadelphia, pp 539–548
Delisle G, Ando M, Calder AL et al (1976) Total anomalous pulmonary venous connection. Report of 93 autopsied cases with emphasis on diagnostic and surgical considerations. Am Heart J 91:99–122
El Sisi A, Tofeig M, Arnold R et al (2001) Mechanical occlusion of the patent ductus arteriosus with Jackson coils. Pediatr Cardiol 22:29–33
Fellows KE, Freed MD, Keane JF et al (1975) Results of routine pre-operative coronary angiography in tetralogy of Fallot. Circulation 51:561–566
Freedom RM, Moes CAF (1985) The hypoplastic right heart complex. Semin Roentgenol 20:169–183
Freedom RM, Culham JAG, Moes CAF (1984a) Left ventricular outflow tract obstruction (valve, subvalve, or supravalve. In: Freedom RM, Culham JAG, Moes CAF (eds) Angiocardiography of congenital heart disease. Macmillan, New York, pp 369–388
Freedom RM, Culham JAG, Moes CAF (1984b) Single ventricle. In: Freedom RM, Culham JAG, Moes CAF (eds) Angiocardiography of congenital heart disease. Macmillan, New York, pp 593–628
Gutgesell HP, Speer ME, Rosenberg HS (1980) Characterization of the cardiomyopathy in infants of diabetic mothers. Circulation 61:441–450
Hellenbrand WE, Allen HD, Golinko RJ et al (1990) Balloon angioplasty for aortic recoarctation: results of valvuloplasty and angioplasty of congenital anomalies registry. Am J Cardiol 65:793–797
Hernanz-Schulman M, Fellows KE (1985) Persistent truncus arteriosus: pathologic, diagnostic and therapeutic considerations. Semin Roentgenol 20:121–129
Ho SY, Anderson RH (1979) Coarctation, tubular hypoplasia and the ductus arteriosus. Histological study of 45 specimens. Br Heart J 41:268–274
Hoffman JIE (1995) Incidence of congenital heart disease. I. Postnatal incidence. Pediatr Cardiol 16:103–113
Jacobs ML (2000) Congenital heart surgery nomenclature and database project: truncus arteriosus (review). Ann Thorac Surg 69:50–55
Kan JS, White RJ, Mitchell SE et al (1982) Percutaneous balloon valvuloplasty: a new method for treating congenital pulmonary-valve stenosis. N Engl J Med 307:540–542
Kao SC, Kimura K, Smith WL, Sato Y (1995) Tracheomalacia before and after aortosternopexy: dynamic and quantitative assessment by electron beam computed tomography with clinical correlation. Pediatr Radiol 25:187–190
Kersting-Sommerhoff BA, Diethelm L, Stanger P et al (1990) Evaluation of complex congenital ventricular anomalies with magnetic resonance imaging. Am Heart J 120:133–142
Kingston HM, Patel RG, Watson GH (1983) Unilateral absence or extreme hypoplasia of pulmonary veins. Br Heart J 49:148–153
Kohn MM, Moores BM, Schibilla H, Schneider K, St Stender H, Stieve FE, Teunen D, Wall B (eds) (1996) EUR 16261 — European guidelines on quality criteria for diagnostic radiographic images in paediatrics. Office for Officiai Publications of the European Communities, Luxembourg
Kommerell B (1937) Verlagerung des Oesophagus durch eine abnorm verlaufende Arteria subclavia dextra (Arteria luso-ria). Fortschr Röntgenstr 2:56
Kretschmar O, Dähnert I, Berger F et al (2000) Percutaneous transcatheter interventions in the treatment of congenital heart disease in infants with a body weight below 2.5 kilograms. Z Kardiol 89:1126–1132
Kvam G (1980) Idiopathic hypertrophic subaortic stenosis. 1. Interventricular septum during systolic contraction. Acta Radiol 21:53–64
Levin DC, Beckmann CF, Garnic JD et al (1981) Frequency and clinical significance of failure to visualize the conus artery during coronary arteriography. Circulation 63:833–834
Luke MJ, McDonnel EJ (1968) Congenital heart disease and scoliosis. J Pediatr 73:725–733
Marin-Garcia J, Tandon R, Lucas RV Jr et al (1975) Cor tria-triatum. Study of 20 cases. Am J Cardiol 35:59–66
Markowitz RI, Fellows KE (1998) The effect on congenital heart disease on the lungs. Semin Roentgenol 23:126–135
Maron BJ, Anan TJ, Roberts WC (1981) Quantitative analysis of the distribution of cardiac muscle cell disorganization in the left ventricular wall of patients with hypertrophic cardiomyopathy. Circulation 63:882–894
Mathew R, Simon G, Joseph M (1972) Collateral circulation in coarctation of aorta in infancy and childhood. Arch Dis Child 47:950–953
Nora JJ (1993) Causes of CHD Old and new modes, mechanisms, and models. Am Heart J 125:1409–1418
Norwood WI, Jakobs ML (1994) Hypoplastic left heart syndrome. In: Stark J, de Laval M (eds) Surgery for congenital heart defects. Saunders, Philadelphia, pp 587–598
O’Brian KM (1985) Congenital syndromes with congenital heart disease. Semin Roentgenol 20:104–105
Patel HT, Madani A, Paris YM et al (2001) Balloon angioplasty of native coarctation of the aorta in infants and neonates: is it worth the hassle? Pediatr Cardiol 22:53–57
Powell AJ, Geva T (2000) Blood flow measurement by magnetic resonance imaging in congenital heart disease. Pediatr Cardiol 21:47–58
Radtke W, Keane JF, Fellows KE et al (1986) Percutaneous balloon valvotomy of congenital pulmonary stenosis using oversized balloon. J Am Coll Cardiol 8:909–915
Rebergen SA, de Roos A (2000) Congenital heart disease. Evaluation of anatomy and function by MRI. Herz 25:365–383
Rebergen SA, Ottenkamp J, Doornbos J et al (1993) Postoperative pulmonary flow dynamics after Fontan surgery: assessment with nuclear magnetic resonance velocity mapping. J Am Coll Cardiol 21:123–131
Samanek M, Voriskova M (1999) Congenital heart disease among 815569 children born between 1980 and 1990 and their 15-year survival: a prospective Bohemia survival study. Pediatr Cardiol 20:411–417
Schwartz DG (1985) Atrioventricular septal defects. Semin Roentgenol 20:226–235
Semb BKH, Tjonneland S, Stake G et al (1979) “Balloon valvulotomy” of congenital pulmonary valve stenosis with tricuspid valve insufficiency. Cardiovasc Radiol 2:239–241
Sinha SN, Rusnak SL, Sommers HM et al (1968) Hypoplastic left ventricle syndrome. Am J Cardiol 21:166–173
Smith HJ (1999) Cardiac MR imaging. Acta Radiol 40:1–22
Soto B, Bargeron LM Jr, Diethelm E (1985) Ventricular septal defect. Semin Roentgenol 20:200–213
Sridaromont S, Ritter DG, Feldt, RH et al (1978) Double outlet right ventricle: anatomic and angiocardiographic correlations. Mayo Clin Proc 53:555–577
Stafford EG, Mair DD, McGoon DC et al (1973) Tetralogy of Fallot with absent pulmonary valve. Surgical considerations and results. Circulation 48:24–30
Stake G, Smevik B, Westvik J (1991) The role of X-rays in children with congenital heart disease. In: Nitter Hauge S, Allison D (eds) Cardiac imaging X-ray, MR and ultrasound. Elsevier Science, New York, pp 21–31
Stanger P, Cassidy SC, Girod DA et al (1990) Balloon pulmonary valvuloplasty: results of valvuloplasty and angioplasty of congenital anomalies registry. Am J Cardiol 65:775–783
Stark J (1994) Coarctation of the aorta. In : Stark J, de Laval M (eds) Surgery for congenital heart defects. Saunders, Philadelphia, pp 285–298
Tynan M, Finley JP, Fontes V et al (1990) Balloon angioplasty for the treatment of native coarctation: results of valvuloplasty and angioplasty of congenital anomalies registry. Am J Cardiol 65:790–792
Van Praagh R, Van Praagh S (1965) The anatomy of common aorticopulmonary trunk (truncus arteriosus communis) and its embryologie implications. Am J Cardiol 16:406–425
Van Praagh R, Bernhard WF, Rosenthal A et al (1971) Interrupted aortic arch: surgical treatment. Am J Cardiol 27:200–211
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Smevik, B., Stake, G. (2002). Congenital Heart and Great Vessel Disease. In: Donoghue, V. (eds) Radiological Imaging of the Neonatal Chest. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-04983-9_9
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DOI: https://doi.org/10.1007/978-3-662-04983-9_9
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