Assessment of CT angiographic findings in comparison with echocardiography findings of chest among patients with aortic arch anomalies

The objective of this study was to examine the findings of computed tomographic (CT) angiography in patients with aortic arch anomalies in comparison with transthoracic echocardiography findings who referred to a private imaging center in Tehran during 2009-2012. The cases included 203 patients with clinical symptoms or echocardiogram of congenital heart disease to assess the presence of aortic arch anomalies among patients referred to imaging center. This study is a retrospective study based on the CT angiographic findings in comparison with transthoracic echocardiography findings of chest among patients with aortic arch anomalies. In this study, 203 patients with congenital anomalies were enrolled in the study, among those, 107 patients were men and 96 were female. The most common anomaly of the aortic arch was found to be coarctation (19.7%), followed by right sided arch with mirror image branching (19.2%). Furthermore, the most common cardiac anomalies associated with aortic arch anomalies were VSD, PA and PDA. The sensitivity and specificity of transthoracic echocardiography in the diagnosis of aortic arch anomalies was 59% and 100% in comparison with CT angiography. In addition, the agreement between the two methods (kappa) in the diagnosis of aortic arch anomalies was 0.72. But, transthoracic echocardiography is the first diagnostic method for patients with congenital heart disease. In some patients, the ability of this method was limited to the detection of coronary artery anomalies and thoracic vessels. Therefore, CT is used for morphological evaluation of congenital heart disease (CHD) due to its main advantages including fast acquisition time, large anatomical coverage, high speed, and great spatial resolution. Moreover, CT is essential for proper evaluation of CHD regarding its high spatial and temporal resolution.

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Agreement Between 64-Slice Multidetector CT Angiography and Transthoracic Echocardiography in Detection of Extracardiac Findings of Congenital Heart Disease

Journal of College of Physicians And Surgeons Pakistan ◽

10.29271/jcpsp.2019.10.923 ◽

2019 ◽

Vol 29 (10) ◽

pp. 923-927

Author(s):

Adeel Malik ◽

Furqan Ahmad ◽

Sameera Amir ◽

Javaid Asgher ◽

Khalid Farooq

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Ct Angiography ◽

Transthoracic Echocardiography ◽

Congenital Heart ◽

Multidetector Ct ◽

Multidetector Ct Angiography

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Critical Congenital Heart Disease Screening in NICU: Need for Revision and Standardization

American Journal of Perinatology ◽

10.1055/s-0037-1603654 ◽

2017 ◽

Vol 34 (14) ◽

pp. 1470-1476 ◽

Cited By ~ 2

Author(s):

Billie Short ◽

Veena Manja ◽

Satyan Lakshminrusimha ◽

Nithi Fernandes

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Pulse Oximetry ◽

Aortic Arch ◽

Neonatal Intensive Care ◽

Congenital Heart ◽

Interrupted Aortic Arch ◽

Screening Methods ◽

Aortic Arch Anomalies ◽

Critical Congenital Heart Disease

AbstractScreening for critical congenital heart disease (CCHD) at 24 to 48 hours after birth or before discharge in newborn nurseries using pulse oximetry is effective and is mandated by most states. However, there is no established protocol for screening in a neonatal intensive care unit (NICU), a setting where neonates are continuously monitored by pulse oximetry, hypoxemia from noncardiac causes is common, and echocardiograms are frequently obtained. CCHDs with hypoxemia are suspected on admission and investigated with an echocardiogram before a formal screen in the NICU. The most common CCHD lesions missed in a NICU setting are secondary targets of the screen, such as aortic arch anomalies (coarctation or interrupted aortic arch). The sensitivity of the current pulse oximeter–based CCHD screen to diagnose aortic arch anomalies is low. Given that infants are monitored with continuous pulse oximetry and frequent examinations, novel revisions to the current screening methods are necessary to detect asymptomatic NICU infants with aortic arch anomalies before discharge. Exclusions (whom to screen), technique (how to screen), and timing (when to screen) for primary and secondary targets of CCHD in the NICU are not known and require further research.

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