Ki Ho Oh, Ki Seok Choo, Soo Jin Lim, Hyoung Doo Lee, Ji Ae Park, Min Jung Jo, Si Chan Sung, Yun Hee Chang, Dong Wook Jeong, Siho Kim
Pusan National University Hospital.
Republic of Korea
Pediatric Radiology
Pediatr Radiol 2009; 39: 950-954
DOI: 10.1007/s00247-009-1309-3
Abstract
Background: Although echocardiography is the first-line imaging modality in the diagnosis of total anomalous pulmonary venous connection (TAPVC), multidetector CT (MDCT) could have advantages in the diagnosis of TAPVC in certain cases.
Objective: To compare MDCT with echocardiography in the evaluation of TAPVC.
Materials and methods: Enrolled in the study were 23 patients with surgically proven TAPVC. The echocardiography and MDCT findings were independently interpreted by a paediatric cardiologist and cardiac radiologist in terms of: (1) the drainage site of the common pulmonary vein, (2) stenosis of the vertical vein, and (3) the course of the atypical vessel into the systemic vein in the case of vertical vein stenosis. The findings from both modalities were correlated with the results obtained at surgery (n=22) or autopsy (n=1).
Results: In all patients, MDCT correctly depicted the drainage site of the common pulmonary vein, stenosis of the vertical vein and the course of the atypical vessel into the systemic vein (sensitivity 100%, specificity 100%). The specificity of echocardiography was 100% for the three defined findings. The sensitivity of echocardiography, however, was 87%, 71% and 0%, respectively.
Conclusion: MDCT can facilitate the diagnosis of TAPVC in certain cases.
Category
Segmental Pulmonary Venous Disease. Without a Focus on Pulmonary Hypertension
Diagnostic Testing for Pulmonary Vascular Disease. Non-invasive Testing
Age Focus: Pediatric Pulmonary Vascular Disease
Fresh or Filed Publication: Filed (PHiled). Greater than 1-2 years since publication
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