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Three‐dimensional CT scanning: a new diagnostic modality in congenital heart disease

Identifieur interne : 000213 ( Ncbi/Merge ); précédent : 000212; suivant : 000214

Three‐dimensional CT scanning: a new diagnostic modality in congenital heart disease

Auteurs : Phalla Ou ; David S. Celermajer ; Giulio Calcagni ; Francis Brunelle ; Damien Bonnet ; Daniel Sidi

Source :

RBID : PMC:1994429

Abstract

New generation multislice CT technology has changed the approach to non‐invasive assessment of congenital heart disease, in both paediatric and adult patients. This is mainly because of rapid advances in spatial and temporal resolution and in post‐processing capability. At Hôpital Necker‐Enfants Malades, CT with multiplanar and three‐dimensional reconstruction has become a routine examination in the evaluation of congenital heart disease planning surgery, complex interventional catheterisations and for follow‐up. It has proved to be an invaluable diagnostic and decision‐aiding methodology in these situations, as a complement to echocardiography and, increasingly, as a substitute for diagnostic angiography (which is usually associated with higher‐dose radiation and longer sedation times, as well as occasional morbidity). This review illustrates the current status of 64‐slice CT in congenital heart diseases, including assessment of the aorta, the coronary arteries, the pulmonary arteries, the systemic and pulmonary veins, and other intra‐ and extracardiac malformations.


Url:
DOI: 10.1136/hrt.2006.101352
PubMed: 16952967
PubMed Central: 1994429

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PMC:1994429

Le document en format XML

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<p>New generation multislice CT technology has changed the approach to non‐invasive assessment of congenital heart disease, in both paediatric and adult patients. This is mainly because of rapid advances in spatial and temporal resolution and in post‐processing capability. At Hôpital Necker‐Enfants Malades, CT with multiplanar and three‐dimensional reconstruction has become a routine examination in the evaluation of congenital heart disease planning surgery, complex interventional catheterisations and for follow‐up. It has proved to be an invaluable diagnostic and decision‐aiding methodology in these situations, as a complement to echocardiography and, increasingly, as a substitute for diagnostic angiography (which is usually associated with higher‐dose radiation and longer sedation times, as well as occasional morbidity). This review illustrates the current status of 64‐slice CT in congenital heart diseases, including assessment of the aorta, the coronary arteries, the pulmonary arteries, the systemic and pulmonary veins, and other intra‐ and extracardiac malformations.</p>
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<aff>
<bold>Phalla Ou</bold>
,
<bold>Francis Brunelle</bold>
, University René Descartes–Paris 5, Department of Paediatric Radiology, Hôpital Necker‐Enfants Malades, AP‐HP, Paris, France</aff>
<aff>
<bold>David S Celermajer</bold>
, Department of Medicine, University of Sydney, Australia</aff>
<aff>
<bold>Giulio Calcagni</bold>
,
<bold>Damien Bonnet</bold>
,
<bold>Daniel Sidi</bold>
, Department of Paediatric Cardiology, Hôpital Necker‐Enfants Malades, AP‐HP, Paris, France</aff>
<author-notes>
<corresp>Correspondence to: Dr P Ou
<break></break>
University René Descartes–Paris 5, Department of Paediatric Radiology, Hôpital Necker‐Enfants Malades; 149, rue de Sèvres, 75743 Paris, Cedex 15, France; phalla.ou@ nck.ap‐hop‐paris.fr</corresp>
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<day>4</day>
<month>9</month>
<year>2006</year>
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<volume>93</volume>
<issue>8</issue>
<fpage>908</fpage>
<lpage>913</lpage>
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<date date-type="accepted">
<day>8</day>
<month>8</month>
<year>2006</year>
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<permissions>
<copyright-statement>Copyright © 2007 BMJ Publishing Group and British Cardiovascular Society.</copyright-statement>
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<abstract>
<p>New generation multislice CT technology has changed the approach to non‐invasive assessment of congenital heart disease, in both paediatric and adult patients. This is mainly because of rapid advances in spatial and temporal resolution and in post‐processing capability. At Hôpital Necker‐Enfants Malades, CT with multiplanar and three‐dimensional reconstruction has become a routine examination in the evaluation of congenital heart disease planning surgery, complex interventional catheterisations and for follow‐up. It has proved to be an invaluable diagnostic and decision‐aiding methodology in these situations, as a complement to echocardiography and, increasingly, as a substitute for diagnostic angiography (which is usually associated with higher‐dose radiation and longer sedation times, as well as occasional morbidity). This review illustrates the current status of 64‐slice CT in congenital heart diseases, including assessment of the aorta, the coronary arteries, the pulmonary arteries, the systemic and pulmonary veins, and other intra‐ and extracardiac malformations.</p>
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<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="Calcagni, Giulio" sort="Calcagni, Giulio" uniqKey="Calcagni G" first="Giulio" last="Calcagni">Giulio Calcagni</name>
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