2016/01/01 by Venkatraman Bhat · 1 citation
Medicine · #Congenital Heart Disease Studies #Cardiac Arrhythmias and Treatments #Coronary Artery Anomalies
paper · pdf · doi:10.7860/jcdr/2016/21443.8210
openalex publication_date 2016/01/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/15
Evaluation of complex congenital heart disease (CHD) demands obtaining detailed and specific information regarding cardiac chambers, connections, muscle contractility and quantification of the flow across valves, septal defects and collaterals. Plain radiography remains starting point and mainstay as a global assessment tool in pre and postoperative evaluation of the patients. Echocardiography initiates detailed investigative process, guided by clinical questions. If additional information is needed MDCT is a valid alternative with some limitations (inadequate functional information, radiation dose and contrast related complications), essentially providing structural information necessary for surgical management. CT evaluation also provides details about pulmonary anomalies, structural information regarding lungs, secondary complications and evaluation of tracheo-bronchial compression. CT also provides detailed mapping of collateral vasculature, information about postoperative status of surgical procedures, grafts and bony changes in association with CHD [5] Integrated multimodality approach is required for, the management of the complex CHD, often decided in consultation with a multidisciplinary team consisting of paediatric cardiologist, cardiac surgeon and an imaging specialist.