Pre-operative evaluation with MR in tetralogy of fallot and pulmonary atresia with ventricular septal defect
(2001) In Acta Radiologica 42(1). p.63-69- Abstract
- PURPOSE: To assess whether MR imaging could replace angiography in preoperative evaluation of patients with tetralogy of Fallot and pulmonary atresia with ventricular septal defect (VSD), especially since the surgical correction was done earlier than was previously the rule. MATERIAL AND METHODS: Fourteen patients with tetralogy of Fallot (n = 10) or pulmonary atresia with VSD (n = 4), mean age 7.5 +/- 4.4 months, were evaluated with angiocardiography and MR before definitive surgical correction. RESULTS: There was good diagnostic agreement between the two modalities when evaluating right ventricular outflow obstruction; 86% for valvular and 93% for supravalvular stenosis, but the agreement was somewhat lower for the subvalvular... (More)
- PURPOSE: To assess whether MR imaging could replace angiography in preoperative evaluation of patients with tetralogy of Fallot and pulmonary atresia with ventricular septal defect (VSD), especially since the surgical correction was done earlier than was previously the rule. MATERIAL AND METHODS: Fourteen patients with tetralogy of Fallot (n = 10) or pulmonary atresia with VSD (n = 4), mean age 7.5 +/- 4.4 months, were evaluated with angiocardiography and MR before definitive surgical correction. RESULTS: There was good diagnostic agreement between the two modalities when evaluating right ventricular outflow obstruction; 86% for valvular and 93% for supravalvular stenosis, but the agreement was somewhat lower for the subvalvular obstruction (57%). Surgery findings, however, were in favour of MR in 5 patients concerning the subvalvular right ventricular outflow tract obstruction. MR images identified all stenoses in the right and left pulmonary arteries, but overlooked one stenosis in the main pulmonary artery. MR could evaluate patency in all palliative shunts. CONCLUSION: Even in this young age group, MR imaging offers a good alternative to angiocardiography for the pre-operative evaluation of the right ventricular outflow tract, the main pulmonary artery and the proximal right and left pulmonary arteries, before definitive surgical correction of tetralogy of Fallot and pulmonary atresia with VSD. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1121743
- author
- Holmqvist, Catarina LU ; Hochbergs, Peter LU ; Björkhem, Gudrun LU ; Brockstedt, Sara LU and Laurin, Sven LU
- organization
- publishing date
- 2001
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Congenital Heart Malformation, Tetralogy Of Fallot, Pulmonary Atresia, Mr Imaging, Angiocardiography, Children
- in
- Acta Radiologica
- volume
- 42
- issue
- 1
- pages
- 63 - 69
- publisher
- SAGE Publications
- external identifiers
-
- pmid:11167334
- scopus:0035221256
- ISSN
- 1600-0455
- DOI
- 10.1080/028418501127346251
- language
- English
- LU publication?
- yes
- id
- ce1df07f-b2e0-497a-81eb-60efbb11a94e (old id 1121743)
- date added to LUP
- 2016-04-01 16:08:48
- date last changed
- 2022-01-28 17:39:04
@article{ce1df07f-b2e0-497a-81eb-60efbb11a94e, abstract = {{PURPOSE: To assess whether MR imaging could replace angiography in preoperative evaluation of patients with tetralogy of Fallot and pulmonary atresia with ventricular septal defect (VSD), especially since the surgical correction was done earlier than was previously the rule. MATERIAL AND METHODS: Fourteen patients with tetralogy of Fallot (n = 10) or pulmonary atresia with VSD (n = 4), mean age 7.5 +/- 4.4 months, were evaluated with angiocardiography and MR before definitive surgical correction. RESULTS: There was good diagnostic agreement between the two modalities when evaluating right ventricular outflow obstruction; 86% for valvular and 93% for supravalvular stenosis, but the agreement was somewhat lower for the subvalvular obstruction (57%). Surgery findings, however, were in favour of MR in 5 patients concerning the subvalvular right ventricular outflow tract obstruction. MR images identified all stenoses in the right and left pulmonary arteries, but overlooked one stenosis in the main pulmonary artery. MR could evaluate patency in all palliative shunts. CONCLUSION: Even in this young age group, MR imaging offers a good alternative to angiocardiography for the pre-operative evaluation of the right ventricular outflow tract, the main pulmonary artery and the proximal right and left pulmonary arteries, before definitive surgical correction of tetralogy of Fallot and pulmonary atresia with VSD.}}, author = {{Holmqvist, Catarina and Hochbergs, Peter and Björkhem, Gudrun and Brockstedt, Sara and Laurin, Sven}}, issn = {{1600-0455}}, keywords = {{Congenital Heart Malformation; Tetralogy Of Fallot; Pulmonary Atresia; Mr Imaging; Angiocardiography; Children}}, language = {{eng}}, number = {{1}}, pages = {{63--69}}, publisher = {{SAGE Publications}}, series = {{Acta Radiologica}}, title = {{Pre-operative evaluation with MR in tetralogy of fallot and pulmonary atresia with ventricular septal defect}}, url = {{http://dx.doi.org/10.1080/028418501127346251}}, doi = {{10.1080/028418501127346251}}, volume = {{42}}, year = {{2001}}, }