Preoperative gadolinium-enhanced magnetic resonance pulmonary venography in an adolescent with atrial septal defect

The conventional preoperative evaluation of congenital heart disease in the adult using only echocardiography and cardiac catheterization is frequently limited. We report a case in which newer magnetic resonance imaging with gadolinium angiographic techniques proved helpful by conclusively documenting normal pulmonary venous return in a patient with secundum [corrected] atrial septal defect. This evaluation obviated the need for referral to a more specialized tertiary-care center for congenital heart disease and dramatized the value of an interdisciplinary approach to the adult patient with newly diagnosed congenital heart disease.