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Computed Tomography Angiography Successfully Used to Diagnose Postoperative Systemic-Pulmonary Artery Shunt Narrowing
Joint Authors
Piggott, Kurt D.
Nykanen, David G.
Smith, Susan
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-09-07
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
In recent years, there has been a marked reduction in surgical mortality for many complex forms of congenital heart disease.
Treatment or palliative strategies vary but may include systemic-pulmonary central or Blalock-Taussig shunt.
These shunts can be complicated by overcirculation, infection, thrombosis, and thromboembolism.
Many diagnostic modalities are available to aide in diagnosis of postoperative shunt complications including echocardiography and cardiac catheterization but these may be invasive, inconclusive, or difficult to obtain adequate images.
Computed tomography angiography (CTA) has many attributes that make it potentially useful in the evaluation of congenital heart disease and postoperative shunt complications.
We report one patient where CTA guided the post-operative algorithm and appropriately identified a shunt narrowing despite repeated echocardiograms showing a patent shunt.
These findings along with clinical suspicion appropriately guided us toward cardiac catheterization.
To our knowledge, this is the first paper where CTA appropriately suspected a shunt narrowing in the absence of echocardiographic confirmation.
American Psychological Association (APA)
Piggott, Kurt D.& Nykanen, David G.& Smith, Susan. 2011. Computed Tomography Angiography Successfully Used to Diagnose Postoperative Systemic-Pulmonary Artery Shunt Narrowing. Case Reports in Cardiology،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-499229
Modern Language Association (MLA)
Piggott, Kurt D.…[et al.]. Computed Tomography Angiography Successfully Used to Diagnose Postoperative Systemic-Pulmonary Artery Shunt Narrowing. Case Reports in Cardiology No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-499229
American Medical Association (AMA)
Piggott, Kurt D.& Nykanen, David G.& Smith, Susan. Computed Tomography Angiography Successfully Used to Diagnose Postoperative Systemic-Pulmonary Artery Shunt Narrowing. Case Reports in Cardiology. 2011. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-499229
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-499229