By Antonio F. Corno, Pierluigi Festa
The analysis and administration of congenital middle defects has quickly developed during the last few a long time. during this 3rd quantity of the sequence entitled "Congenital middle Defects: determination Making for surgical procedure" Antonio Corno presents an up to date and finished presentation of the recent position that cardiac CT and MRI will play within the administration of congenital center defects. He has been ably assisted by means of a heart specialist, Pierluigi Festa. The ebook presents a blinding array of pictures derived by way of either options and covers the whole variety of congenital center malformations. either the pre-operative and post-operative usefulness of those recommendations is gifted: within the pre-operative interval with reference to the main points invaluable for selecting between all to be had surgical recommendations; within the post-operative interval for tracking the follow-up and power issues. there's no doubt that those innovations could be really beneficial for older childrens and adults with congenital middle illness in assessing the overdue impression of a congenital middle malformation and the surgical fix or palliation which could were undertaken years formerly.
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Extra info for Congenital Heart Defects. Decision Making for Surgery: Volume 3: CT-Scan and MRI (Congenital Heart Defects: Decision Making for Surgery)
11. Status post repair of partial anomalous right pulmonary venous connection. MRI confirmed the severe obstruction of the superior vena cava just above its junction to the right atrium, as showed in the gadolinium-enhanced main intensity projection coronal plane (a); MRI also highlighted an unsuspected right upper pulmonary vein obstruction as illustrated in the fast spin echo axial plane (b) as well, probably caused by the surgical baffle (RA right atrium, RUPV right upper pulmonary veins, SVC superior vena cava) z Fig.
J Invasive Cardiol 19:E69–72 Kafka H, Mohiaddin R (2007) Undiagnosed cause of right ventricular enlargement: value of cardiovascular magnetic resonance for the detection of sinus venosus defect and partial anomalous pulmonary venous connection. J Cardiovasc Magn Reson 9:105 Lapierre C, Raboisson MJ, Miro J, Dahdah N, Guerin R (2003) Evaluation of a large atrial septal occluder with cardiac MR imaging. Radiographics 23:S51–58 Lilje C, Weiss F, Weil J (2005) Non-invasive follow up of an atrial septal defect device occlusion.
Standard oblique atriotomy: the upper right pulmonary vein is deviated to the left atrium by means of a patch (synthetic or pericardial) sewn along the wall of the superior caval vein so as to include the anomalously connected vein(s); suturing of the patch is then carried down into the right atrium, and then sewn around an unrestricted interatrial communication (already present or surgically created) in the upper part of the interatrial septum. In this way, the anomalously connected right pulmonary vein(s) can drain through a tunnel, whose posterior wall is composed of the superior caval vein and whose anterior wall is composed of a patch through the atrial septal defect into the left atrium.