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Updated: Mar 6, 2026

Murine Fetal Echocardiography
Published on: February 15, 2013
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.
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.
Abstract:
Multimodality cardiovascular imaging plays a central role in caring for patients with congenital heart disease (CHD). CHD clinicians and scientists are interested not only in cardiac morphology but also in the maladaptive ventricular responses and extracellular changes predisposing to adverse outcomes in this population. Expertise in the applications, strengths, and pitfalls of these cardiovascular imaging techniques as they relate to CHD is essential. The purpose of this article is to provide an overview of cardiovascular imaging in CHD. We focus on the role of 3 widely used noninvasive imaging techniques in CHD-echocardiography, cardiac magnetic resonance imaging, and cardiac computed tomography. Consideration is given to the common goals of cardiac imaging in CHD, including assessment of structural and residual heart disease before and after surgery, quantification of ventricular volume and function, stress imaging, shunt quantification, and tissue characterization. Extracardiac imaging is highlighted as an increasingly important aspect of CHD care.
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