Post on 21-May-2018
Cardiac CT in Adult Congenital Heart Disease
DENNIS FOLEY
MEDICAL COLLEGE WISCONSIN
Adult CHD
AORTIC ANOMALIES COARCTATON , PDA
TRANSPOSITION MUSTARD
BAFFLE LEAK, STENOSIS RT VENTRICLE FAILURE
JANTENE ARTERIAL SWITCH CORONARY , PULMONARY STENOSES
TETRALOGY FALLOT POST CORRECTION PV INSUFFICIENCY
FONTAN STENOSES, PULMONARY EMBOLI CONGESTIVE HEPATOPATHY, CARDIAC CIRRHOSIS
Aortic Coarctation
ISSUES DELAYED
DIAGNOSIS
POST TREATMENT SURVEILLANCE
POST TREATMENT COMPLICATIONS
PSEUDO COARCTATION ASCENDING AORTIC GRAFT
POST AORTOPLASTY
COARCTATION ENDOSTENT
LEFT SUBCLAVIAN FLAP AORTOPLASTY
Transposition SURGICAL CORRECTION
AND COMPLICATIONS
MUSTARD/SENNING ATRIAL BAFFLE BAFFLE LEAK/
STENOSIS
RVF
JANTENE ARTERIAL SWITCH CORONARY,
PULMONARY STENOSES
RV
LV
SYSTEMIC ATRIUM
PULMONARY ATRIUM
TV
RV
SYSTEMIC ATRIUM
TGV , MUSTARD, PACEMAKER LEADAO
RVOT
LV
TV
SA
TRANSPOSITION MUSTARD PROCEDURE
LAD
RCA
UPPER EXT VEIN INJECTION
BAFFLE STENOSIS , LEAK
AZYGOS VEIN
IVC
SECOND INJECTION DELAYED ACQUISITION
RV
AO
PA
LVLV
JANTENE ARTERIAL SWITCH
PA
AS AORV
RA
LA
FRONTAL
MPA
RPA
LPA
TRANSPOSITION ARTERIAL SWITCH
MPA
MPA
LCARCA
JANTENE ARTERIAL SWITCH
Tetralogy of Fallot
INITIAL PALLIATIVE REPAIR BLALOCK TAUSSIG
WATERSTON, POTTS SHUNTS
DEFINITIVE REPAIR INFUNDIBULECTOMY
VSD CLOSURE
COMPLICATIONS PULMONARY
REGURGITATION
PA
TETRALOGY FALLOT, INFUNDIBULECTOMY VSD REPAIR , PULMONARY VALVE INSUFFICIENCY
CONUS BRANCH RCA
Fontan Procedure
ATRIO PULMONARY CONNECTION
CAVO PULMONARY INTRACARDIAC ( LATERAL TUNNEL )
EXTRACARDIAC
FONTAN PROCEDURE EXTRA CARDIAC CAVO PULMONARY
SIMULTANEOUS UE/IVC INJECTION
NUTMEG LIVER
CARDIAC CIRRHOSIS
CARDIAC CIRRHOSIS
REGENERATIVE NODULE
Summary
300,000 ACHD PATIENTS IN UNITED STATES
MEDICAL CARE AND SUPERVISION SPREAD BETWEEN SPECIALISED CENTERS AND PHYSICIAN PRACTICES
ROLE OF CT IMAGING THORACIC AORTA CORONARY ANOMALIES AND STENOSES STRUCTURAL ISSUES WITH PRIOR REPAIRS EXTRA CARDIAC ISSUES eg FONTAN
HEPATOPATYHY