الفهرس | Only 14 pages are availabe for public view |
Abstract MDCT proved to be a precious modality for decision-making in TOF patients; MDCT affords many advantages in comparison with echocardiography, MDCT is a non-operator dependent exam. MDCT is excellent in detecting intra-cardiac and extra-cardiac anomalies in pediatric patients with complex CHD such as TOF. Cardiac CT makes use of state-of-art imaging techniques for volumetric & functional assessment of right ventricle and is considered as an attractive imaging modality particularly for right ventricle assessment, providing accurate data and easier post processing. It affords comprehensive anatomical information on pulmonary arterial tree development especially distal pulmonary arteries and major aortopulmonary collaterals in fine detail as part of the surgical preparation for TOF & pulmonary atresia. Confident detection and exclusion of coronary or extra cardiac vascular abnormalities is possible with MDCT and when the abnormality is present high level of accuracy of its anatomic description can be achieved. So, recommendation of this study is to perform ECG gated MDCT as a routine preoperative investigation for patient with TOF and other congenital heart disease to avoid surgical surprise or unexpected coronary or extra cardiac vascular anomalies missed by ECHO, to get adequate information about the right ventricular volumetric and functional parameters essential for determining treatment planning and predicting clinical outcome and to get adequate detailed information about the pulmonary arteries & MAPCAs. |