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Surgically corrected congenital heart disease: utility of 64-MDCT

Philip J Spevak1, Pamela T Johnson, Elliot K Fishman

  • 1Department of Pediatrics, The Johns Hopkins Medical Institutions and Johns Hopkins Hospital, Brady 5, 600 N Wolfe St., Baltimore, MD 21287, USA. spevak@jhmi.edu

AJR. American Journal of Roentgenology
|August 22, 2008
PubMed

Insights

This review highlights computed tomography (CT) imaging for assessing postoperative congenital heart disease. It demonstrates the value of 64-multi-detector row CT (MDCT) in evaluating complex thoracic anatomy after surgical repair.

Area of Science:

  • Cardiovascular Imaging
  • Pediatric Cardiology
  • Thoracic Radiology

Background:

  • Echocardiography is the primary imaging modality for congenital heart disease (CHD).
  • Post-surgical CHD evaluation can be limited by echocardiography's scope.
  • Complex thoracic anatomy after surgical revision poses imaging challenges.

Purpose of the Study:

  • To review the computed tomography (CT) appearance of postoperative morphology.
  • To identify complications following surgical correction of congenital heart anomalies.
  • To illustrate the utility of 64-multi-detector row CT (MDCT) in postoperative CHD assessment.

Main Methods:

  • Review of illustrative cases.
  • Focus on CT imaging findings.
  • Correlation with clinical and surgical data.

Main Results:

  • CT effectively visualizes postoperative morphology in surgically corrected CHDs.
  • CT identifies various complications, including.
  • 64-MDCT provides comprehensive thoracic imaging beyond echocardiographic capabilities.

Conclusions:

  • While echocardiography is standard, CT is crucial for detailed evaluation of postoperative CHD.
  • 64-MDCT is a valuable tool for assessing complex thoracic anatomy and complications in these patients.
  • CT imaging aids in the management of patients with congenital heart disease after surgery.
Abstract

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