Three-dimensional computed tomographic imaging of complex congenital cardiovascular abnormalities

Marchelle J. Bean, Harpreet Pannu, Elliot K Fishman

Research output: Contribution to journalArticle

Abstract

Primary evaluation of congenital cardiac abnormalities traditionally relies upon echocardiography and conventional angiography, both of which have potential limitations. Echocardiography is an operator dependant study, limited by a small window and patient movement. Conventional angiography is an invasive procedure with an inherent risk of catheter complication such as vessel damage, bleeding, stroke and infection. During angiography, overlapping of the pulmonary and systemic circulation often provides a confusing picture given complex anatomy. Another limiting factor of particular significance in young children is radiation dose and contrast administration during catherization procedures. Three-dimensional MDCT provides an alternative to alleviate these pitfalls of traditional cardiac diagnostic studies. Development of multi-detector computed tomography (MDCT) and 3D software provides new methods for non-invasive visualization and evaluation of congenital cardiac abnormalities. The multiplanar, volumetric functions allow faster and more complete computed tomography diagnosis and better understanding of clinical relevance of complex cardiac anatomy. In addition, 3D imaging is particularly useful for preoperative planning and postoperative outcomes. This essay provides case studies to illustrate the usefulness of MDCT/3D CT for evaluation of complex congenital heart disease.

Original languageEnglish (US)
Pages (from-to)721-724
Number of pages4
JournalJournal of Computer Assisted Tomography
Volume29
Issue number6
DOIs
StatePublished - Nov 2005

Fingerprint

Cardiovascular Abnormalities
Tomography
Angiography
Echocardiography
Anatomy
Pulmonary Circulation
Heart Diseases
Software
Catheters
Stroke
Radiation
Hemorrhage
Infection

Keywords

  • Computed tomography
  • Congenital cardiovascular abnormalities
  • Three-dimensional

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Three-dimensional computed tomographic imaging of complex congenital cardiovascular abnormalities. / Bean, Marchelle J.; Pannu, Harpreet; Fishman, Elliot K.

In: Journal of Computer Assisted Tomography, Vol. 29, No. 6, 11.2005, p. 721-724.

Research output: Contribution to journalArticle

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