8. Computed tomography in the diagnosis of congenital heart disease

Authors

  • A.L. Egizekov Surgery, Center for Modern Medicine «Mediterra» LLP «Institute of Surgery», Almaty, Kazakhstan, Центр современной медицины «Mediterra» ТОО «Институт хирургии», г. Алматы, Казахстан
  • K.N. Kuatbekov Surgery, Center for Modern Medicine «Mediterra» LLP «Institute of Surgery», Almaty, Kazakhstan, Центр современной медицины «Mediterra» ТОО «Институт хирургии», г. Алматы, Казахстан
  • K.E. Karakoishin Surgery, Center for Modern Medicine «Mediterra» LLP «Institute of Surgery», Almaty, Kazakhstan, Центр современной медицины «Mediterra» ТОО «Институт хирургии», г. Алматы, Казахстан
  • A.V. Mishin Surgery, Center for Modern Medicine «Mediterra» LLP «Institute of Surgery», Almaty, Kazakhstan, Центр современной медицины «Mediterra» ТОО «Институт хирургии», г. Алматы, Казахстан
  • A.M. Nurbekov Surgery, Center for Modern Medicine «Mediterra» LLP «Institute of Surgery», Almaty, Kazakhstan, Центр современной медицины «Mediterra» ТОО «Институт хирургии», г. Алматы, Казахстан

Downloads

Abstract

Aim of the study – Evaluate the value of multispiral computed tomography (MSCT) with intravenous contrast in the diagnosis of congenital heart disease (CHD) at the stage of preoperative preparation and choice of surgical tactics.

Methods. Between January 2021 and June 2022, 30 CT cardiographies were performed in our center, of different age and mediastinal pathology. A 64-slice Somaton Siemens sensation 64 CT scanner complete with digital processing systems was used. The main vessels of the heart were examined with intravenous bolus injection of contrast agent. Image analysis included study of anatomy of the defect by three-plane tomograms and construction of multiplanar 3-D reconstructions.

Results. Modern approaches to the imaging diagnosis of CHD in all age groups are presented. The role of CT-angiography with intravenous contrast in the diagnosis of congenital, acquired cardiovascular and thoracic pathology is shown. Qualitative assessment of CT-angiographic picture of CHD was performed.

Conclusion. Our experience with CT cardiography in the examination of patients with CHD, in contrast to traditional ultrasound and invasive techniques, in most cases allows to obtain more valuable diagnostic information, especially extracardiac structures, which determines its significance in the examination of CHD. It details anatomy of malformations in reliable morphometric indices, diagnosis of aortic, pulmonary artery, right ventricular pathology, including pathology of its outflow tract, to assess ventricular-artery connections and atrial-ventricular connections.

Keywords

CT scan, CT cardiography, congenital heart disease

References

  1. Sachdeva R, Valente A, Armstrong A, et al. ACC/AHA/ASE/HRS/ISACHD/SCAI/SCCT/ SCMR/SOPE 2020 Appropriate Use Criteria for Multimodality Imaging During the Follow-Up Care of Patients With Congenital Heart Disease. J Am CollCardiol. 2020 Feb, 75 (6) 657–703.https://doi. org/10.1016/j.jacc.2019.10.002
  2. Marelli A.J., Ionescu-Ittu R., Mackie A.S., et al. «Lifetime prevalence of congenital heart disease in the general population from 2000 to 2010». Circulation 2014;130:749-756
  3. Gilboa S.M., Devine O.J., Kucik J.E., et al. «Congenital heart defects in the United States: estimating the magnitude of the affected population in 2010». Circulation 2016;134:101-109
  4. Warnes C.A. «The adult with congenital heart disease: born to be bad?»J Am CollCardiol2005;46:1-8
  5. Dodge-Khatami J, Adebo DA. Evaluation of complex congenital heart disease in infants using low dose cardiac computed tomography. Int J Cardiovasc Imaging. 2021 Apr;37(4):1455-1460. doi:10.1007/s10554-020-02118-7.Epub2021Jan3.PMID:33392877
  6. Ramirez-Suarez KI, Tierradentro-García LO, Otero HJ, Rapp JB, White AM, Partington SL, Harris MA, Vatsky SA, Whitehead KK, Fogel MA, Biko DM. Optimizing neonatal cardiac imaging (magnetic resonance/computed tomography). PediatrRadiol. 2022 Apr;52(4):661-675. doi:10.1007/s00247-021-05201-w.Epub2021Oct
  7. John S, Schoeneberg L, Greenleaf CE, Salazar JD, Adebo DA. Pre- and post-operative cardiovascular CT in Stage I single ventricle palliation. J CardSurg. 2022 Feb;37(2):322-328. doi:10.1111/jocs.16162.Epub2021Nov29.PMID:34845746
  8. Schindler P, Kehl HG, Wildgruber M, Heindel W, Schülke C. Cardiac CT in the Preoperative Diagnostics of Neonates with Congenital Heart Disease: Radiation Dose Optimization by Omitting Test Bolus or Bolus Tracking. AcadRadiol. 2020 May;27(5):e102-e108. doi:10.1016/j.acra.2019.07.019.Epub2019Aug20.PMID:31444109
  9. Han BK, Overman DM, Grant K, Rosenthal K, Rutten-Ramos S, Cook D, Lesser JR. Non-sedated, free breathing cardiac CT for evaluation of complex congenital heart disease in neonates. J Cardiovasc Comput Tomogr. 2013 Nov-Dec;7(6):354-60. doi:10.1016/j.jcct.2013.11.006.Epub2013Nov7.PMID:24331930
  10. Goitein O, Salem Y, Jacobson J, Goitein D, Mishali D, Hamdan A, Kuperstein R, Di Segni E, Konen E. The role of cardiac computed tomography in infants with congenital heart disease. IsrMedAssoc J. 2014 Mar;16(3):147-52. PMID: 24761701

Published

2022-10-10

Issue

No. 3 (2022)

Section

Статьи