Cardiovascular MR imaging after surgical correction of tetralogy of fallot: approach based on understanding of surgical procedures

Ordovas, Karen G., Muzzarelli, Stefano, Hope, Michael D., Naeger, David M., Karl, Tom, Reddy, Gautham P., Marchiori, Edson and Higgins, Charles B. (2013) Cardiovascular MR imaging after surgical correction of tetralogy of fallot: approach based on understanding of surgical procedures. RadioGraphics, 33 4: 1037-1052. doi:10.1148/rg.334115084


Author Ordovas, Karen G.
Muzzarelli, Stefano
Hope, Michael D.
Naeger, David M.
Karl, Tom
Reddy, Gautham P.
Marchiori, Edson
Higgins, Charles B.
Title Cardiovascular MR imaging after surgical correction of tetralogy of fallot: approach based on understanding of surgical procedures
Journal name RadioGraphics   Check publisher's open access policy
ISSN 0271-5333
1527-1323
Publication date 2013-07-01
Year available 2013
Sub-type Article (original research)
DOI 10.1148/rg.334115084
Volume 33
Issue 4
Start page 1037
End page 1052
Total pages 16
Place of publication Oak Brook, IL, United States
Publisher Radiological Society of North America
Collection year 2014
Language eng
Abstract Tetralogy of Fallot (TOF) is one of the most common congenital heart diseases for which patients are referred for postoperative magnetic resonance (MR) imaging evaluation. The most common surgical procedures for TOF repair include infundibulectomy, transannular pulmonary artery patch repair, and right ventricle–pulmonary artery conduit placement. In the past few decades, surgery has proved successful, but most patients require repeat imaging throughout their lives. MR imaging is now frequently used for morphologic and functional evaluation after TOF repair. The most common late postoperative sequelae and residual lesions include right ventricular outflow tract aneurysm and dyskinesis, conduit failure, pulmonary regurgitation, tricuspid regurgitation, right ventricular failure, residual main and branch pulmonary artery stenosis, branch pulmonary artery aneurysm, left pulmonary artery kinking, and residual or recurrent ventricular septal defect. The imaging approach for the evaluation of patients with repaired TOF should be guided by the surgical procedure used and the complications that are expected. Knowledge of the most common postoperative problems and their cardiovascular MR imaging appearances is essential for good radiology practice in this clinical setting.
Keyword Congenital heart disease
Pulmonary valve replacement
Right ventricular function
Term follow-up
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Medicine Publications
 
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