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The role of cardiovascular magnetic resonance in adults with congenital heart disease.
Progress in Cardiovascular Diseases ( IF 9.1 ) Pub Date : 2011-10-22 , DOI: 10.1016/j.pcad.2011.07.006
Philip J Kilner 1
Affiliation  

The comprehensive coverage and versatility of cardiovascular magnetic resonance (CMR), providing functional as well as anatomical information, make it an important facility in a center specializing in the care of adults with congenital heart disease. Imaging specialists using CMR to investigate acquired heart disease should also be able to recognize and evaluate previously unsuspected congenital malformations. Conditions that may present or be picked up during imaging in adulthood include atrial septal defect, anomalously connected pulmonary veins, double-chambered right ventricle, congenitally corrected transposition of the great arteries, aortic coarctation, and patent arterial duct. To realize its full potential and to avoid pitfalls, CMR of adults with congenital heart disease requires specific training and experience. Appropriate pathophysiological understanding is needed to evaluate cardiovascular function after surgery for tetralogy of Fallot, after transposition of the great arteries, and after Fontan operations. For these and other more complex cases, CMR should ideally be undertaken by specialists committed to long-term collaboration with the clinicians and surgeons managing the patients in a tertiary referral center.

中文翻译:

心血管磁共振在成人先天性心脏病中的作用。

心血管磁共振 (CMR) 的全面覆盖和多功能性,提供功能和解剖信息,使其成为专门治疗成人先天性心脏病的中心的重要设施。使用 CMR 调查获得性心脏病的影像专家也应该能够识别和评估以前未预料到的先天性畸形。在成年期成像期间可能出现或发现的情况包括房间隔缺损、肺静脉异常连接、右心室双腔、先天性矫正大动脉转位、主动脉缩窄和动脉导管未闭。为了充分发挥其潜力并避免陷阱,患有先天性心脏病的成年人的 CMR 需要特定的培训和经验。评估法洛四联症手术后、大动脉转位后和 Fontan 手术后的心血管功能需要适当的病理生理学理解。对于这些和其他更复杂的病例,理想情况下,CMR 应由致力于与在三级转诊中心管理患者的临床医生和外科医生长期合作的专家进行。
更新日期:2011-10-19
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