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Thorac Cardiovasc Surg 2000; 48(6): 328-335
DOI: 10.1055/s-2000-8344
Original Cardiovascular
Original Paper
© Georg Thieme Verlag Stuttgart · New York

Imaging in Adults with Congenital Cardiac Disease (ACCD)[*]

H. Kaemmerer1 , H. Stern1 , S. Fratz1 , M. Prokop3 , M. Schwaiger2 , J. Hess1
  • 1German Heart Center, Department of Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
  • 2Klinikum rechts der Isar der Technischen Universitaet Muenchen, Department of Nuclear Medicine, Munich, Germany
  • 3University of Vienna, Department of Diagnostic Radiology, Vienna, Austria
Further Information

Publication History

Publication Date:
31 December 2000 (online)

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Management of patients with congenital heart disease requires detailed information on cardiac and great vessel morphology. In previous years, the diagnosis and the treatment of congenital malformations has often depended on cardiac catherization, and in many institutions, cardiac catherization still remains the gold standard against which other modalities are measured. In the past decade, however, imaging methodologies have increasingly shifted toward the use of less invasive and noninvasive techniques. Currently, echocardiography is the initial method of choice in evaluating the anatomy, especially in younger patients. Meanwhile, several newer imaging techniques like magnetic resonance imaging (MRI) and spiral or multislice computed tomography (CT) are in use. They offer extremely useful information about abnormalities of the heart and great vessels as well as the assessment of cardiac anatomy and function. Echo, angiography, MRI and CT should be seen as complimentary investigations in adult congenital heart disease.

Key words:

Adults with congenital cardiac disease - Echocardiography - Magnetic resonance imaging - Computed tomography

1 This paper has been presented at the 3rd Joint Meeting of the German, the Austrian, and Swiss Societies for Thoracic and Cardiovascular Surgery, Lucerne, February 9-12, 2000.

References

  • 1 Stümper O. Imaging the heart in adult congenital heart disease [editorial].  Heart. 1998;  80(6) 535-536
    PubMedGoogle Scholar
  • 2 Kaemmerer H, Ibrahim T, Schwaiger M, Hess J. Magnetresonanztomographie und Spiralcomputertomographie in der Diagnostik und Nachsorge von Erwachsenen mit angeborenen Herz- und Gefäßanomalien.  Herz. 1999;  24 263-275
    PubMedGoogle Scholar
  • 3 Pennell D J. The contribution of MRI in the evaluation of cardiac function.  ACC Current Journal review. 1999;  8 70-72
    PubMedGoogle Scholar
  • 4 Simpson I A, Sahn D J. Adult congenital heart disease: use of transthoracic echocardiography versus magnetic resonance imaging scanning.  Am J Card Imaging. 1995;  9(1) 29-37
    PubMedGoogle Scholar
  • 5 Hubbard A M, Fellows K E, Weinberg P M, Fogel M A. Preoperative and postoperative MRI of congenital heart disease.  Semin Roentgenol. 1998;  33(3) 218-227
    PubMedGoogle Scholar
  • 6 Fellows K E, Hubbard A M. MRI: complacency or ascendancy in the evaluation of congenital heart disease [editorial].  Pediatr Radiol. 1999;  29(7) 491-495
    CrossrefPubMedGoogle Scholar
  • 7 Wimpfheimer O, Boxt L M. MR imaging of adult patients with congenital heart disease.  Radiol Clin North Am. 1999;  37(2) 421-438, vii
    CrossrefPubMedGoogle Scholar
  • 8 Fogel M A, Hubbard A M, Fellows K E, Weinberg P M. MRI for physiology and function in congenital heart disease: functional assessment of the heart preoperatively and postoperatively.  Semin Roentgenol. 1998;  33(3) 239-251
    PubMedGoogle Scholar
  • 9 Haselgrove J C, Simonetti O. MRI for physiology and function: technical advances in MRI of congenital heart disease.  Semin Roentgenol. 1998;  33(3) 293-301
    PubMedGoogle Scholar
  • 10 Reddy G P, Higgins C B. Congenital heart disease: measuring physiology with MRI.  Semin Roentgenol. 1998;  33(3) 228-238
    PubMedGoogle Scholar
  • 11 Boothroyd A. Magnetic resonance - its current and future role in paediatric cardiac radiology.  Eur J Radiol. 1998;  26(2) 154-162
    CrossrefPubMedGoogle Scholar
  • 12 Niwa K, Uchishiba M, Aotsuka H. , et al . Measurement of ventricular volumes by cine magnetic resonance imaging in complex congenital heart disease with morphologically abnormal ventricles.  Am Heart J. 1996;  131(3) 567-575
    CrossrefPubMedGoogle Scholar
  • 13 Razavi R, Baker E. Magnetic resonance imaging comes of age.  Cardiol Young. 1999;  9 529-538
    PubMedGoogle Scholar
  • 14 Geva T. The future of pediatric cardiology: Will cardiac MRI replace diagnostic cardiac catheterization? ACCEL. 1998 8
    Google Scholar
  • 15 . The clinical role of magnetic resonance in cardiovascular disease . Task Force of the European Society of Cardiology, in collaboration with the Association of European Paediatric Cardiologists.  Eur Heart J. 1998;  19(1) 19-39
    CrossrefPubMedGoogle Scholar
  • 16 Subirane-Doménech M, Borrás-Pérez X. Congenital heart disease. 1999
    Google Scholar
  • 17 Kersting-Sommerhoff B A, Diethelm L, Teitel D F. , et al . Magnetic resonance imaging of congenital heart disease: sensitivity and specificity using receiver operating characteristic curve analysis.  Am Heart J. 1989;  118(1) 155-161
    CrossrefPubMedGoogle Scholar
  • 18 Hartnell G G, Cohen M C, Meier R A, Finn J P. Magnetic resonance angiography demonstration of congenital heart disease in adults.  Clin Radiol. 1996;  51(12) 851-857
    CrossrefPubMedGoogle Scholar
  • 19 Greenberg S B, Balsara R K, Faerber E N. Coarctation of the aorta: diagnostic imaging after corrective surgery.  J Thorac Imaging. 1995;  10(1) 36-42
    PubMedGoogle Scholar
  • 20 Parks W J, Ngo T D, Plauth W H Jr.. , et al . Incidence of aneurysm formation after Dacron patch aortoplasty repair for coarctation of the aorta: long-term results and assessment utilizing magnetic resonance angiography with three-dimensional surface rendering.  J Am Coll Cardiol. 1995;  26(1) 266-271
    CrossrefPubMedGoogle Scholar
  • 21 Kersting-Sommerhoff B A, Diethelm L, Stanger P. , et al . Evaluation of complex congenital ventricular anomalies with magnetic resonance imaging.  Am Heart J. 1990;  120(1) 133-142
    CrossrefPubMedGoogle Scholar
  • 22 Vick G W 3rd, Wendt R E 3rd, Rokey R. Comparison of gradient echo with spin echo magnetic resonance imaging and echocardiography in the evaluation of major aortopulmonary collateral arteries.  Am Heart J. 1994;  127(5) 1341-1347
    CrossrefPubMedGoogle Scholar
  • 23 Sampson C, Kilner P J, Hirsch R, Rees R S, Somerville J, Underwood S R. Venoatrial pathways after the Mustard operation for transposition of the great arteries: anatomic and functional MR imaging.  Radiology. 1994;  193(1) 211-217
    PubMedGoogle Scholar
  • 24 Kaemmerer H, Theissen P, Schirg E, Kaulitz R, Schicha H, Kallfelz H C. Postoperative complications after the Mustard operation for complete transposition - a qualitative evaluation with magnetic resonance imaging.  Cardiol Young. 1996;  6 62-68
    PubMedGoogle Scholar
  • 25 Lorenz C H, Walker E S, Graham T P Jr., Powers T A. Right ventricular performance and mass by use of cine MRI late afrer atrial repair of transposition of the great arteries.  Circulation. 1995;  92 (9 Suppl) li233-239
    PubMedGoogle Scholar
  • 26 Rebergen S A, Helbing W A, van der Wall E E, Maliepaard C, Chin J G, de Roos A. MR velocity mapping of tricuspid flow in healthy children and in patients who have undergone Mustard or Senning repair.  Radiology. 1995;  194(2) 505-512
    PubMedGoogle Scholar
  • 27 Bornemeier R A, Weinberg P M, Fogel M A. Angiographic, echocardiographic, and threedimensional magnetic resonance imaging of extracardiac conduits in congenital heart disease.  Am J Cardiol. 1996;  78(6) 713-717
    CrossrefPubMedGoogle Scholar
  • 28 Martinez J E, Mohiaddin R H, Kilner P J. , et al . Obstruction in extracardiac ventriculopulmonary conduits: value of nuclear magnetic resonance imaging with velocity mapping and Doppler echocardiography.  J Am Coll Cardiol. 1992;  20(2) 338-344
    PubMedGoogle Scholar

1 This paper has been presented at the 3rd Joint Meeting of the German, the Austrian, and Swiss Societies for Thoracic and Cardiovascular Surgery, Lucerne, February 9-12, 2000.

Priv.-Doz. Dr. Dr. H. Kaemmerer

Deutsches Herzzentrum München

Klinik für Kinderkardiologie und angeborene Herzfehler

Lazarettstraße 36

80636 München

Germany

Phone: +49-89-1218-3005

Fax: +49-89-1218-3003

Email: kaemmerer@dhm.mhn.de

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