ROLE OF CT PULMONARY ANGIOGRAPHY IN CONGENITAL HEART DISEASES IN PAEDIATRIC POPULATION

Dr. Joshi Anagha R.; Dr. Sankhe Ashwini P.; Dr. Shah Ankita U.; Dr. Vaswani Aakash B.; Dr. Raikar Prasad

Volume : VII, Issue : IV, April - 2018

ROLE OF CT PULMONARY ANGIOGRAPHY IN CONGENITAL HEART DISEASES IN PAEDIATRIC POPULATION

Dr. Joshi Anagha R. , Dr. Sankhe Ashwini P. , Dr. Shah Ankita U. , Dr. Vaswani Aakash B. , Dr. Raikar Prasad

Abstract :

Background: Heart defects are among the most common birth defects, occurring in 1% of live births (2–3% including bicuspid aortic valve).Multidetector computed tomography (CT) angiography is a fast method to evaluate vascular structural anomalies and CT can assess cardiac structures, thoracic vessels, the lungs and tracheoonchial tree in a single examination.

Aims: The purpose of this study is to describe the role of CT in the evaluation of congenital cardiovascular disease in children and anatomical anomalies in pulmonary vasculature.

Materials and methods: A retrospective study of CT pulmonary angiography was done in our department during the period of January to December 2017 for various congenital heart diseases.

Results and conclusion: 40 patients were included out of which 12 children had acyanotic heart disease and 28 had cyanotic heart disease. The anomalies studied included Tetralogy of Fallot (15), Pentalogy of Fallot (2), Hemitruncusarteriosus (1), transposition of great arteries (1), aortic coarctation (6), hypoplastic left heart (2), double outlet right ventricle (2), Interrupted aortic arch (2) and Total anomalous pulmonary venous return (3).

We suggest evaluation of complex cardiac anomalies primarily by CT pulmonary angiography study rather than only 2D Echo evaluation for better surgical outcome.