Non-invasive assessment of congenital pulmonary vein stenosis in children using cardiac-non-gated CT with 64-slice technology
Identifieur interne : 008192 ( Main/Exploration ); précédent : 008191; suivant : 008193Non-invasive assessment of congenital pulmonary vein stenosis in children using cardiac-non-gated CT with 64-slice technology
Auteurs : PHALLA OU [France] ; Davide Marini [France] ; David S. Celermajer [Australie] ; Gabriella Agnoletti [France] ; Pascal Vouhe [France] ; Daniel Sidi [France] ; Damien Bonnet [France] ; Francis Brunelle [France]Source :
- European journal of radiology [ 0720-048X ] ; 2009.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Enfant, Pédiatrie, Médecine nucléaire.
English descriptors
- KwdEn :
Abstract
Background: Management of congenital pulmonary vein stenosis is a diagnostic challenge. Echocardiography may be insufficient and thus cardiac catheterization remains the reference standard in this setting. The aim of the study was to investigate the accuracy of cardiac-non-gated CT using 64-slice technology in detecting congenital pulmonary vein stenosis in children. Materials and methods: CT examinations were consecutively performed from May 2005 to December 2006 in 13 children aged 1.5-12 months (median 5 months) for suspected congenital pulmonary vein stenosis. Cardiac-non-gated CT acquisitions were performed after the peripheral injection of contrast agent. Pulmonary veins were evaluated for their pattern of connectivity from the lung to the left atrium and for the presence of stenosis. CT findings of pulmonary vein stenosis were compared with combined findings available from echocardiography, catheterization and surgery. Results: Pulmonary veins from the right lung (n=29) and left lung (n=26) were evaluated as separate structures (N=55). Of the 55 structures, 32 had surgical and/or catheterization data and 45 had echocardiography for comparison. CT visualized 100% (55/55) of the investigated structures, while echocardiography visualized 82% (45/55). In the 13 subjects CT identified 10 stenotic pulmonary veins. CT confirmed the echocardiography suspicion of pulmonary vein stenosis in 100% (7/7) and established a new diagnosis in 3 other patients. CT agreed with surgery/catheterization in 100% (10/10) of the available comparisons. Conclusion: Cardiac-non-gated CT assessed the pulmonary veins more completely than echocardiography and should be considered as a viable alternative for invasive pulmonary venography for detecting pulmonary vein stenosis in children.
Affiliations:
- Australie, France
- Nouvelle-Galles du Sud, Île-de-France
- Paris, Sydney
- Université Paris-Descartes, Université de Sydney
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type="wicri:Area/Main/Exploration">008192</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Non-invasive assessment of congenital pulmonary vein stenosis in children using cardiac-non-gated CT with 64-slice technology</title><author><name sortKey="Phalla Ou" sort="Phalla Ou" uniqKey="Phalla Ou" last="Phalla Ou">PHALLA OU</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Université Paris Descartes, Faculté de Médecine Necker-Enfants Malades, Department of Pediatric Radiology</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement><settlement type="city">Paris</settlement></placeName><orgName type="university">Université Paris-Descartes</orgName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C, Université Paris Descartes, Faculté de Médecine Necker-Enfants Malades</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement><settlement type="city">Paris</settlement></placeName><orgName type="university">Université Paris-Descartes</orgName></affiliation></author><author><name sortKey="Marini, Davide" sort="Marini, Davide" uniqKey="Marini D" first="Davide" last="Marini">Davide Marini</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C, Université Paris Descartes, Faculté de Médecine Necker-Enfants Malades</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement><settlement type="city">Paris</settlement></placeName><orgName type="university">Université Paris-Descartes</orgName></affiliation></author><author><name sortKey="Celermajer, David S" sort="Celermajer, David S" uniqKey="Celermajer D" first="David S." last="Celermajer">David S. Celermajer</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Department of Medicine, University of Sydney</s1><s3>AUS</s3><sZ>3 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName><orgName type="university">Université de Sydney</orgName></affiliation></author><author><name sortKey="Agnoletti, Gabriella" sort="Agnoletti, Gabriella" uniqKey="Agnoletti G" first="Gabriella" last="Agnoletti">Gabriella Agnoletti</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C, Université Paris Descartes, Faculté de Médecine Necker-Enfants Malades</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement><settlement type="city">Paris</settlement></placeName><orgName type="university">Université Paris-Descartes</orgName></affiliation></author><author><name sortKey="Vouhe, Pascal" sort="Vouhe, Pascal" uniqKey="Vouhe P" first="Pascal" last="Vouhe">Pascal Vouhe</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C, Université Paris Descartes, Faculté de Médecine Necker-Enfants Malades</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement><settlement type="city">Paris</settlement></placeName><orgName type="university">Université Paris-Descartes</orgName></affiliation></author><author><name sortKey="Sidi, Daniel" sort="Sidi, Daniel" uniqKey="Sidi D" first="Daniel" last="Sidi">Daniel Sidi</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C, Université Paris Descartes, Faculté de Médecine Necker-Enfants Malades</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement><settlement type="city">Paris</settlement></placeName><orgName type="university">Université Paris-Descartes</orgName></affiliation></author><author><name sortKey="Bonnet, Damien" sort="Bonnet, Damien" uniqKey="Bonnet D" first="Damien" last="Bonnet">Damien Bonnet</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C, Université Paris Descartes, Faculté de Médecine Necker-Enfants Malades</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement><settlement type="city">Paris</settlement></placeName><orgName type="university">Université Paris-Descartes</orgName></affiliation></author><author><name sortKey="Brunelle, Francis" sort="Brunelle, Francis" uniqKey="Brunelle F" first="Francis" last="Brunelle">Francis Brunelle</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Université Paris Descartes, Faculté de Médecine Necker-Enfants Malades, Department of Pediatric Radiology</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement><settlement type="city">Paris</settlement></placeName><orgName type="university">Université Paris-Descartes</orgName></affiliation></author></analytic><series><title level="j" type="main">European journal of radiology</title><title level="j" type="abbreviated">Eur. j. radiol.</title><idno type="ISSN">0720-048X</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">European journal of radiology</title><title level="j" type="abbreviated">Eur. j. radiol.</title><idno type="ISSN">0720-048X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Child</term><term>Computerized axial tomography</term><term>Congenital</term><term>Congenital cardiopathy</term><term>Heart</term><term>Non invasive method</term><term>Nuclear medicine</term><term>Pediatrics</term><term>Pulmonary stenosis</term><term>Pulmonary vein</term><term>Radiology</term><term>Vein stenosis</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Sténose des veines</term><term>Cardiopathie congénitale</term><term>Méthode non invasive</term><term>Tomodensitométrie</term><term>Congénital</term><term>Sténose pulmonaire</term><term>Veine pulmonaire</term><term>Enfant</term><term>Coeur</term><term>Pédiatrie</term><term>Médecine nucléaire</term><term>Radiologie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Enfant</term><term>Pédiatrie</term><term>Médecine nucléaire</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Management of congenital pulmonary vein stenosis is a diagnostic challenge. Echocardiography may be insufficient and thus cardiac catheterization remains the reference standard in this setting. The aim of the study was to investigate the accuracy of cardiac-non-gated CT using 64-slice technology in detecting congenital pulmonary vein stenosis in children. Materials and methods: CT examinations were consecutively performed from May 2005 to December 2006 in 13 children aged 1.5-12 months (median 5 months) for suspected congenital pulmonary vein stenosis. Cardiac-non-gated CT acquisitions were performed after the peripheral injection of contrast agent. Pulmonary veins were evaluated for their pattern of connectivity from the lung to the left atrium and for the presence of stenosis. CT findings of pulmonary vein stenosis were compared with combined findings available from echocardiography, catheterization and surgery. Results: Pulmonary veins from the right lung (n=29) and left lung (n=26) were evaluated as separate structures (N=55). Of the 55 structures, 32 had surgical and/or catheterization data and 45 had echocardiography for comparison. CT visualized 100% (55/55) of the investigated structures, while echocardiography visualized 82% (45/55). In the 13 subjects CT identified 10 stenotic pulmonary veins. CT confirmed the echocardiography suspicion of pulmonary vein stenosis in 100% (7/7) and established a new diagnosis in 3 other patients. CT agreed with surgery/catheterization in 100% (10/10) of the available comparisons. Conclusion: Cardiac-non-gated CT assessed the pulmonary veins more completely than echocardiography and should be considered as a viable alternative for invasive pulmonary venography for detecting pulmonary vein stenosis in children.</div></front></TEI><affiliations><list><country><li>Australie</li><li>France</li></country><region><li>Nouvelle-Galles du Sud</li><li>Île-de-France</li></region><settlement><li>Paris</li><li>Sydney</li></settlement><orgName><li>Université Paris-Descartes</li><li>Université de Sydney</li></orgName></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Phalla Ou" sort="Phalla Ou" uniqKey="Phalla Ou" last="Phalla Ou">PHALLA OU</name></region><name sortKey="Agnoletti, Gabriella" sort="Agnoletti, Gabriella" uniqKey="Agnoletti G" first="Gabriella" last="Agnoletti">Gabriella Agnoletti</name><name sortKey="Bonnet, Damien" sort="Bonnet, Damien" uniqKey="Bonnet D" first="Damien" last="Bonnet">Damien Bonnet</name><name sortKey="Brunelle, Francis" sort="Brunelle, Francis" uniqKey="Brunelle F" first="Francis" last="Brunelle">Francis Brunelle</name><name sortKey="Marini, Davide" sort="Marini, Davide" uniqKey="Marini D" first="Davide" last="Marini">Davide Marini</name><name sortKey="Phalla Ou" sort="Phalla Ou" uniqKey="Phalla Ou" last="Phalla Ou">PHALLA OU</name><name sortKey="Sidi, Daniel" sort="Sidi, Daniel" uniqKey="Sidi D" first="Daniel" last="Sidi">Daniel Sidi</name><name sortKey="Vouhe, Pascal" sort="Vouhe, Pascal" uniqKey="Vouhe P" first="Pascal" last="Vouhe">Pascal Vouhe</name></country><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Celermajer, David S" sort="Celermajer, David S" uniqKey="Celermajer D" first="David S." last="Celermajer">David S. 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