By Dr. Shankar Sridharan, Gemma Price, Dr. Oliver Tann, Dr. Marina Hughes, Dr. Vivek Muthurangu, Professor Andrew M. Taylor (auth.)
This new and certain medical source bargains fast entry to fine quality photos overlaying a huge spectrum of paediatric and grownup cardiac pathologies visualized utilizing MRI and CT. Key photographs of every and a transparent interpretation in their MR appearances enable for higher knowing of the pathology. concentration is given to the making plans of imaging planes, recommendations and sequences to procure the simplest photographs and enhance MR overview. this article would receive advantages all overall healthiness pros serious about imaging congenital cardiac disease.
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Additional resources for Cardiovascular MRI in Congenital Heart Disease: An Imaging Atlas
5. Coronal oblique MPR CT image of a doubly committed VSD (arrow) 16 Ventricular Septal Defect Simple shunt quantiﬁcation Suspect a shunt if there is Asymmetric atrial or ventricular dilatation Dilatation of the main and branch pulmonary arteries Always assess Ventricular stroke volumes Aortic and pulmonary ﬂow volumes Note: The presence of AV valve regurgitation can confound the simple guides below VSD shunt Usual Pure Left to right Qp > Qs RVSV = Ao FF LVSV = Pulm FF Pulm FF > Ao FF LVSV > RVSV VSD shunt RV high pressure Pure Right to left Qp < Qs RVSV = Ao FF LVSV = Pulm FF Ao FF > Pulm FF RVSV > LVSV ASD shunt Usual Pure Left to right Qp > Qs RVSV = Pulm FF LVSV = Ao FF Pulm FF > Ao FF RVSV > LVSV ASD shunt RV low compliance Pure Right to left Qp < Qs RVSV = Pulm FF LVSV = Ao FF Ao FF > Pulm FF LVSV > RVSV Through-plane ﬂow volume assessment: ¼ Phase-contrast, through-plane ﬂow mapping.
Time plot for the ascending aorta for different grades of regurgitation, compared to a normal ﬂow curve Fig. 3. b-SSFP left ventricular inﬂow/outﬂow view, in a patient who has undergone the Ross procedure, showing a large aortic root abscess extending between the pulmonary autograft, and left atrium 41 42 Cardiovascular MRI in Congenital Heart Disease 19 Coarctation of the Aorta Describe the location and degree of the stenotic region (often focal)/length of coarctation segment. Look for arch involvement and post stenotic dilatation.
Arrow denotes the lateral tunnel part of this patient’s TCPC (Fontan) circulation Fig. 4. b-SSFP image. Valve view showing a complete AVSD in a patient with right isomerism, and double outlet right ventricle. Valve leaﬂets as in Fig. 1 Fig. 5. b-SSFP image. Valve view showing a balanced partial AVSD. A tongue of tissue joins SB and IB, making left AV valve trileaﬂet (arrow), with the right AV valve having four leaﬂets 29 30 Cardiovascular MRI in Congenital Heart Disease Fig. 6. b-SSFP image. LVOT view in a patient with a partial AVSD.