Noninvasive Imaging in Adult Congenital Heart Disease

Luke J Burchill1, Jennifer Huang2, Justin T Tretter2

  • 1From the Knight Cardiovascular Institute (L.J.B., A.M.K., S.K., C.S.B.), Doernbecher Children's Hospital (J.H.), Oregon Health and Science University, Portland; The Heart Institute, Cincinnati Children's Hospital Medical Center, OH (J.T.T., G.R.V.); Department of Cardiology, Heart Lung and Vascular Institute, University of Cincinnati Medical Center, OH (A.M.C.); Department of Cardiology, Cincinnati Children's Hospital, OH (A.M.C.); Department of Cardiology (A.M.C.) and Joint Department of Medical Imaging (A.M.C.), Toronto General Hospital, ON, Canada. burchilu@ohsu.edu.

Circulation Research
|March 18, 2017
PubMed

Insights

Multimodality cardiovascular imaging is crucial for congenital heart disease (CHD) care. This review covers echocardiography, cardiac MRI, and CT for assessing cardiac structure, function, and outcomes in CHD patients.

Area of Science:

  • Cardiovascular Imaging
  • Congenital Heart Disease (CHD)

Background:

  • Multimodality cardiovascular imaging is central to managing congenital heart disease (CHD).
  • Understanding ventricular responses and extracellular changes is key to predicting adverse outcomes in CHD.
  • Expertise in imaging techniques, their applications, strengths, and limitations is vital for CHD clinicians.

Purpose of the Study:

  • To provide an overview of cardiovascular imaging in congenital heart disease (CHD).
  • To highlight the role of echocardiography, cardiac magnetic resonance imaging (CMR), and cardiac computed tomography (CCT) in CHD.

Main Methods:

  • Review of widely used noninvasive imaging techniques in CHD.
  • Focus on echocardiography, cardiac MRI, and cardiac CT.
  • Discussion of common cardiac imaging goals in CHD.

Main Results:

  • Echocardiography, cardiac MRI, and cardiac CT are key noninvasive tools in CHD.
  • Imaging assesses structural disease, ventricular function, shunts, and tissue characteristics.
  • Extracardiac imaging is increasingly important in CHD management.

Conclusions:

  • Comprehensive cardiovascular imaging is essential for optimal CHD patient care.
  • Noninvasive imaging modalities provide critical data for diagnosis and management.
  • Integrated imaging approaches, including extracardiac assessment, improve CHD outcomes.

Related Concept Videos

Imaging Studies for Cardiovascular System III: X-Ray01:20

Imaging Studies for Cardiovascular System III: X-Ray

The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
550
Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
460
Imaging Studies for Cardiovascular System II:Types of Echocardiography01:20

Imaging Studies for Cardiovascular System II:Types of Echocardiography

Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
745
Imaging Studies for Cardiovascular System I:Echocardiography01:17

Imaging Studies for Cardiovascular System I:Echocardiography

Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
827
Imaging Studies for Cardiovascular System IV: CMRI01:21

Imaging Studies for Cardiovascular System IV: CMRI

Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
448
Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
371