Document Detail


Patency of cavopulmonary connection studied by single phase electron beam computed tomography.
MedLine Citation:
PMID:  14609197     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The shunt patency and anatomic alteration of central PA after cavopulmonary connection was assessed by one phase electron-beam computed tomography (EBCT) METHODS: Thirteen patients that received a bi-directional cavo-pulmonary shunt (BCPS, n = 7) or total cavo-pulmonary connection (TCPC, n = 6) were included. The patency of the shunt and the anatomy of intra-pericardial PA were evaluated by EBCT, and compared by angiography and echocardiography. RESULTS: EBCT accurately evaluated shunt patency and the anatomy of the intra-pericardial PA, except for the incorrect diagnosis of SVC-PA shunt patency and peripheral pulmonary stenosis in two TCPC patients. Both of these patients had bilateral SVC and received either bilateral BCPS or ligation of the left SVC respectively. The baffle between the IVC and PA was partly opacified through a fenestration of the baffle, but was not opacified in two patients without fenestration. CONCLUSION: EBCT accurately evaluated shunt patency and the anatomy of central PA, however, the accuracy was limited in two cases with bilateral SVC. The opacification of the intra-atrial baffle was insufficient in TCPC cases. Multi-phase CT angiography may overcome this limitation in this patient subset.
Authors:
Byoung Wook Choi; Young Hwan Park; Jong Kyun Lee; Dong Joon Kim; Min Jung Kim; Kyu Ok Choe
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  The international journal of cardiovascular imaging     Volume:  19     ISSN:  1569-5794     ISO Abbreviation:  Int J Cardiovasc Imaging     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-11-11     Completed Date:  2004-04-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100969716     Medline TA:  Int J Cardiovasc Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  447-55     Citation Subset:  IM    
Affiliation:
Department of Diagnostic Radiology, Research Institute of Radiological Science, Yonsei University, College of Medicine, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Child
Child Welfare
Child, Preschool
Contrast Media
Echocardiography
Female
Heart Atria / physiopathology,  radiography,  ultrasonography
Heart Bypass, Right*
Heart Catheterization
Heart Defects, Congenital / diagnosis,  physiopathology,  surgery
Hepatic Veins / physiopathology,  radiography,  ultrasonography
Humans
Infant
Infant Welfare
Injections, Intravenous
Male
Postoperative Complications / diagnosis,  etiology,  physiopathology
Pulmonary Artery / physiopathology,  radiography,  ultrasonography
Pulmonary Circulation / physiology
Pulmonary Valve Stenosis / diagnosis,  physiopathology,  surgery
Regional Blood Flow / physiology
Retrospective Studies
Statistics as Topic
Tomography, X-Ray Computed*
Treatment Outcome
Vascular Patency / physiology*
Vena Cava, Inferior / physiopathology,  radiography,  ultrasonography
Vena Cava, Superior / physiopathology,  radiography,  ultrasonography
Chemical
Reg. No./Substance:
0/Contrast Media

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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