Initial evaluation of cardiac magnetic resonance in for diagnosis of Fallot tetralogy

Nguyen Ngoc Trang1, Nguyen Khoi Viet1, Le Thuy Lien1, Hoang Van Hoa1, Pham Minh Thong1,
1 Bach Mai Hospital

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Abstract

SUMMARY


Purposes: To apply cardiac magnetic resonance (CMR) for diagnosis preoperative Tetralogy of Fallot patients and to compare the findings on echocardiography with CMR.
Methods and materials: 32 patients were included in a prospective study during the interval from June 2008 to August 2009 at Bach Mai hospital. Both echocardiography and CMR had been perrformed to evaluate the variables: Ejection Fraction (EF), the right ventricular outflow tract, main pulmonary artery (MPA), left and right pulmonary artery (LPA & RPA), major aortopulmonary collateral arteries (MAPCAs)… The correlation between the findings on CMR and echocardiography was compared by using Pearson statistics.
Results: 32 patients (14 males) with average age was 19.94 ± 8.20 (range: 8 -53) y. o. 100% success CMR with average time: 80.93 ± 50.41 minutes. There was a close correlation between the findings on CMR and on echocardiography with Kappa statistics r= 0.63-0.70 (p < 0.05). CMR detect more MAPCAs and additional anomalies than echocardiography.
Conclusions: The results of our study indicate the usefulness of CMR for evaluation pre-operative patients with Tetralogy of Fallot. CMR has more advantages than echocardiography for detection MAPCAs and additional anomalies

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References

TÀI LIỆU THAM KHẢO
1. J.Bogaert et al (2005), “Clinical Cardiac MRI”.
2. Kritvikrom Durongpisitkul et al (2008), “Pre-2. Operative Evaluation with Magnetic Resonance Imaging in Tetralogy of Fallot and Pulmonary Atresia with Ventricular Septal Defect”, J Med Assoc Thai Vol. 91 No. 3 2008.
3. M. Ines Boechat et al (2005), “Cardiac MR 3. Imaging and MR Angiography for Assessment of Complex Tetralogy of Fallot and Pulmonary Atresia”, Radiographics, 25:1535-1546.
4. Mark Spektor et al. “Tetralogy of Fallot”.eMedicine/ Cardiovascular.
5. Philippe F (1994), Tétralogie de Fallot. In: 5. Cardiologie. ELLIPSES/ AUPELF, pp. 416-420.
6. Sueblingvong V (1990). “Limitations in 2D color 6. Doppler echocardiography in the diagnosis of congenital heart disease”. J Med Assoc Thai 73 (3): 157-161.
7. Van Ardell G, Maharaj G et al (2000), “What 7. is the optimal age of tetralogy of Fallot?”, Circulation, 102(19), pp.123-129.