Computed tomography imaging of complications in postoperative cyanotic congenital heart diseases - A pictorial essay
Cross-sectional imaging plays an essential role in the diagnosis and management of various structural and functional changes that occur in the postoperative period after palliative or corrective surgical procedures performed for congenital heart diseases (CHD). Although echocardiography is the mains...
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| Veröffentlicht in: | Clinical imaging 2021-03, Vol.71, p.1-12 |
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| creator | Ojha, Vineeta Ganga, Kartik P. Kumar, Sanjeev |
| description | Cross-sectional imaging plays an essential role in the diagnosis and management of various structural and functional changes that occur in the postoperative period after palliative or corrective surgical procedures performed for congenital heart diseases (CHD). Although echocardiography is the mainstay for the evaluation of CHD, it is limited by poor acoustic window post-surgery in addition to being operator dependent. Computed tomography (CT) allows for the comprehensive evaluation of the post-surgical anatomy and complications after repair for cyanotic CHD. Radiologists and cardiac imagers should be familiar with these expected changes after surgeries performed for various cyanotic CHDs, to obtain diagnostic quality cardiac CT images and to promptly recognise the abnormal post-operative appearances in this patient population. In this review, we describe the various CT features of complications that can be encountered after repair of cyanotic CHDs.
•CT is the mainstay in evaluation of complications associated with post-operative CHD•Knowledge of the expected post-operative anatomy and common complications is crucial for early diagnosis and management.•Careful observation of the heart, vasculature, lungs and mediastinum form the basis of reading a post-operative CHD scan. |
| doi_str_mv | 10.1016/j.clinimag.2020.10.012 |
| format | Article |
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•CT is the mainstay in evaluation of complications associated with post-operative CHD•Knowledge of the expected post-operative anatomy and common complications is crucial for early diagnosis and management.•Careful observation of the heart, vasculature, lungs and mediastinum form the basis of reading a post-operative CHD scan.</description><identifier>ISSN: 0899-7071</identifier><identifier>EISSN: 1873-4499</identifier><identifier>DOI: 10.1016/j.clinimag.2020.10.012</identifier><identifier>PMID: 33166896</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Cardiovascular diseases ; Complications ; Computed tomography ; Congenital diseases ; Congenital heart disease ; Coronary artery disease ; Coronary vessels ; CT angiography ; Diagnostic systems ; Echocardiography ; Heart - diagnostic imaging ; Heart Defects, Congenital - diagnostic imaging ; Heart Defects, Congenital - surgery ; Heart diseases ; Humans ; Image quality ; Magnetic resonance imaging ; Medical imaging ; Post-operative complications ; Postoperative Complications - diagnostic imaging ; Postoperative Period ; Pulmonary arteries ; Pulmonary hypertension ; Scanners ; Structure-function relationships ; Surgery ; Thrombosis ; Tomography, X-Ray Computed ; Veins & arteries</subject><ispartof>Clinical imaging, 2021-03, Vol.71, p.1-12</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><rights>2020. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-c06e9095662148e1078666d8d3baa318c7cd91234ffc1df817bdad7f60e111933</citedby><cites>FETCH-LOGICAL-c396t-c06e9095662148e1078666d8d3baa318c7cd91234ffc1df817bdad7f60e111933</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.clinimag.2020.10.012$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33166896$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ojha, Vineeta</creatorcontrib><creatorcontrib>Ganga, Kartik P.</creatorcontrib><creatorcontrib>Kumar, Sanjeev</creatorcontrib><title>Computed tomography imaging of complications in postoperative cyanotic congenital heart diseases - A pictorial essay</title><title>Clinical imaging</title><addtitle>Clin Imaging</addtitle><description>Cross-sectional imaging plays an essential role in the diagnosis and management of various structural and functional changes that occur in the postoperative period after palliative or corrective surgical procedures performed for congenital heart diseases (CHD). Although echocardiography is the mainstay for the evaluation of CHD, it is limited by poor acoustic window post-surgery in addition to being operator dependent. Computed tomography (CT) allows for the comprehensive evaluation of the post-surgical anatomy and complications after repair for cyanotic CHD. Radiologists and cardiac imagers should be familiar with these expected changes after surgeries performed for various cyanotic CHDs, to obtain diagnostic quality cardiac CT images and to promptly recognise the abnormal post-operative appearances in this patient population. In this review, we describe the various CT features of complications that can be encountered after repair of cyanotic CHDs.
•CT is the mainstay in evaluation of complications associated with post-operative CHD•Knowledge of the expected post-operative anatomy and common complications is crucial for early diagnosis and management.•Careful observation of the heart, vasculature, lungs and mediastinum form the basis of reading a post-operative CHD scan.</description><subject>Cardiovascular diseases</subject><subject>Complications</subject><subject>Computed tomography</subject><subject>Congenital diseases</subject><subject>Congenital heart disease</subject><subject>Coronary artery disease</subject><subject>Coronary vessels</subject><subject>CT angiography</subject><subject>Diagnostic systems</subject><subject>Echocardiography</subject><subject>Heart - diagnostic imaging</subject><subject>Heart Defects, Congenital - diagnostic imaging</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>Image quality</subject><subject>Magnetic resonance imaging</subject><subject>Medical imaging</subject><subject>Post-operative complications</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Period</subject><subject>Pulmonary arteries</subject><subject>Pulmonary hypertension</subject><subject>Scanners</subject><subject>Structure-function relationships</subject><subject>Surgery</subject><subject>Thrombosis</subject><subject>Tomography, X-Ray Computed</subject><subject>Veins & arteries</subject><issn>0899-7071</issn><issn>1873-4499</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUFv1DAQhS0EotvCX6gsceGSxRNnHftGtQKKVIkLnC2vPdl6ldjBdirtv8fRthy4cLL05nvPo3mE3ALbAgPx6bS1ow9-Msdty9pV3DJoX5ENyJ43XafUa7JhUqmmZz1ckeucT6waVde_JVecgxBSiQ0p-zjNS0FHS5ziMZn58UzXWB-ONA7U1vHorSk-hkx9oHPMJc6YqvKE1J5NiMXbyoUjBl_MSB_RpEKdz2gyZtrQOzp7W2LydYg5m_M78mYwY8b3z-8N-fX1y8_9ffPw49v3_d1DY7kSpbFMoGJqJ0QLnURgvRRCOOn4wRgO0vbWKWh5NwwW3CChPzjj-kEwBADF-Q35eMmdU_y9YC568tniOJqAccm67XaKd_VIUNEP_6CnuKRQt6uUhJ0UHayUuFA2xZwTDnpO9VjprIHptRd90i-96LWXVa-9VOPtc_xymND9tb0UUYHPFwDrPZ48Jp2tx2DR-YS2aBf9__74A6O7oz4</recordid><startdate>202103</startdate><enddate>202103</enddate><creator>Ojha, Vineeta</creator><creator>Ganga, Kartik P.</creator><creator>Kumar, Sanjeev</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>202103</creationdate><title>Computed tomography imaging of complications in postoperative cyanotic congenital heart diseases - A pictorial essay</title><author>Ojha, Vineeta ; Ganga, Kartik P. ; Kumar, Sanjeev</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-c06e9095662148e1078666d8d3baa318c7cd91234ffc1df817bdad7f60e111933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cardiovascular diseases</topic><topic>Complications</topic><topic>Computed tomography</topic><topic>Congenital diseases</topic><topic>Congenital heart disease</topic><topic>Coronary artery disease</topic><topic>Coronary vessels</topic><topic>CT angiography</topic><topic>Diagnostic systems</topic><topic>Echocardiography</topic><topic>Heart - diagnostic imaging</topic><topic>Heart Defects, Congenital - diagnostic imaging</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Heart diseases</topic><topic>Humans</topic><topic>Image quality</topic><topic>Magnetic resonance imaging</topic><topic>Medical imaging</topic><topic>Post-operative complications</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Postoperative Period</topic><topic>Pulmonary arteries</topic><topic>Pulmonary hypertension</topic><topic>Scanners</topic><topic>Structure-function relationships</topic><topic>Surgery</topic><topic>Thrombosis</topic><topic>Tomography, X-Ray Computed</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ojha, Vineeta</creatorcontrib><creatorcontrib>Ganga, Kartik P.</creatorcontrib><creatorcontrib>Kumar, Sanjeev</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ojha, Vineeta</au><au>Ganga, Kartik P.</au><au>Kumar, Sanjeev</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Computed tomography imaging of complications in postoperative cyanotic congenital heart diseases - A pictorial essay</atitle><jtitle>Clinical imaging</jtitle><addtitle>Clin Imaging</addtitle><date>2021-03</date><risdate>2021</risdate><volume>71</volume><spage>1</spage><epage>12</epage><pages>1-12</pages><issn>0899-7071</issn><eissn>1873-4499</eissn><abstract>Cross-sectional imaging plays an essential role in the diagnosis and management of various structural and functional changes that occur in the postoperative period after palliative or corrective surgical procedures performed for congenital heart diseases (CHD). Although echocardiography is the mainstay for the evaluation of CHD, it is limited by poor acoustic window post-surgery in addition to being operator dependent. Computed tomography (CT) allows for the comprehensive evaluation of the post-surgical anatomy and complications after repair for cyanotic CHD. Radiologists and cardiac imagers should be familiar with these expected changes after surgeries performed for various cyanotic CHDs, to obtain diagnostic quality cardiac CT images and to promptly recognise the abnormal post-operative appearances in this patient population. In this review, we describe the various CT features of complications that can be encountered after repair of cyanotic CHDs.
•CT is the mainstay in evaluation of complications associated with post-operative CHD•Knowledge of the expected post-operative anatomy and common complications is crucial for early diagnosis and management.•Careful observation of the heart, vasculature, lungs and mediastinum form the basis of reading a post-operative CHD scan.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33166896</pmid><doi>10.1016/j.clinimag.2020.10.012</doi><tpages>12</tpages></addata></record> |
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| subjects | Cardiovascular diseases Complications Computed tomography Congenital diseases Congenital heart disease Coronary artery disease Coronary vessels CT angiography Diagnostic systems Echocardiography Heart - diagnostic imaging Heart Defects, Congenital - diagnostic imaging Heart Defects, Congenital - surgery Heart diseases Humans Image quality Magnetic resonance imaging Medical imaging Post-operative complications Postoperative Complications - diagnostic imaging Postoperative Period Pulmonary arteries Pulmonary hypertension Scanners Structure-function relationships Surgery Thrombosis Tomography, X-Ray Computed Veins & arteries |
| title | Computed tomography imaging of complications in postoperative cyanotic congenital heart diseases - A pictorial essay |
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