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Importance of CT Angiography in Preoperative Evaluation of Patients With Tetralogy of Fallot; Single Center Experience

Yıl 2020, Cilt: 42 Sayı: 4, 373 - 377, 13.07.2020
https://doi.org/10.20515/otd.581245

Öz

The aim of this study is to
investigate the diagnostic significance of Computerized Tomography (CT)
angiography in the evaluation of coronary and pulmonary artery anomalies and
accompanying extracardiac structures in pediatric patients with tetralogy of
Fallot. We also aimed to evaluate the surgical benefits of CT angiography
performed before operation. The data of patients with operated tetralogy of
Fallot and variants were retrospectively reviewed between January 2016- January
2018. Patients without CT angiography examination and cases with missing data
were not included in the study. The age, gender, age at diagnosis, echocardiography
and CT angiography and operation procedure were evaluated. A total of 32
patients were included in the study. The mean age of the patients was 18±17
(1-84) months. Of the patients, 6 had Tetralogy of Fallot with pulmonary
atresia and 1 had tetralogy of Fallot without pulmonary valve. The extracardiac
malformations detected by CT anjiography were aortopulmonary collateral artery
in 6 patients, retroaortic innominate ven in 2 patients, aberrant right
subclavian artery in 1 patient and coronary artery anomaly in 1 patient. CT
angiography is important in patients with tetralogy of Fallot showing
concomitant pulmonary artery confluence, diameter and aortopulmonary collateral
artery. This examination provides significant benefits in terms of surgical
choice and approach.

Kaynakça

  • 1-Perry LW, Neill CA, Ferencz C, EUROCAT Working Party on. Congenital Heart Disease. Perspective in Pediatric Cardiology Epidemiology of congenital heart disease, the Baltimore-Washington Infant Study 1981–89. Armonk, NY: Futura; 1993. pp. 33-62.
  • 2-Oppenheimer DA, Bartelings MM, Wenink ACG. Anomalous architecture of the ventricles in hearts with overriding of aortic valve and a perimembranous ventricular septal defect ("Eisenmenger VSD") International Journal of Cardiology. 1989;9:341-355
  • 3-Anderson RH, Weinberg PM. The clinical anatomy of tetralogy of Fallot. Cardiology in the Young. 2005;15:38–47
  • 4-Van Praagh R. The first Stella Van Praagh memorial lecture:the history and anatomy of tetralogy of Fallot. Semin ThoracCardiovasc Surg Pediatr Card Surg Annu 2009;12:19-38.
  • 5-Freedom RM, Yoo SJ. Tetralogy of Fallot. In: Freedom RM, Yoo SJ, Mikailian H, Williams WG, eds. The natural and modified history of congenital heart disease. New York: Futura; 2004. p.186-211.
  • 6-Van Arsdell GS, Maharaj GS, Tom J, Rao VK, Coles JG, Freedom RM, et.al.What is the optimal age for repair of tetralogy of Fallot? Circulation. 2000;102:123-129.
  • 7-Sandoval JP, Chaturvedi RR, Benson L, Morgan G, Van Arsdell G, Honjo O,et al.Right ventricular outflow tract stenting in tetralogy of Fallot infants with risk factors for early primary repair. Circ Cardiovasc Interv. 2016;9:3979.
  • 8-Ntsinjana HN, Hughes ML, Taylor AM. The role of cardiovascularmagnetic resonance in pediatric congenital heart disease. JCardiovasc Magn Reson 2011;13:51.
  • 9-Ou P, Celermajer DS, Calcagni G et al (2007) Three-dimensional CT scanning: a new diagnostic modality in congenital heart disease. Heart 93:908-913
  • 10-Siegel MJ. Multiplanar and three-dimensional multi-detectorrow CT of thoracic vessels and airways in the pediatric popu-lation. Radiology 2003;229:641-50.
  • 11-Driessen MM, Breur JM, Budde RP, et al. Advances in cardiac magnetic resonance imaging of congenital heart disease. Pediatr Radiol 2015;45:5-19
  • 12-Kouchoukos NT, Blackstone EH, Doty DB. Ventricular sep¬tal defect with pulmonary stenosis or atresia.In Kirklin/Barratt-Boyes (eds) Cardiac Surgery, 3rd edn. Churchhill Livingstone, Philadelphia. 2003. p. 946-1073.
  • 13-Yilmaz M, Sargon MF, Dogan OF, Pasaoglu I. A very rare anatomic variation of the left brachiocephalic vein: Left retro-aortic brachiocephalic vein with tetralogy of Fallot. Surg Radiol Anat 2003;25(2):158-60
  • 14-Siripornpitak S, Pornkul R, Khowsathit P, Layangool T, Promphan W, Pongpanich B, Cardiac CT. Angiography in children with congenital heart disease. Eur J Radiol. 2013;82(7):1067-82.
  • 15-Dillman JR, Hernandez RJ. Role of CT in the evaluation of congenital cardiovascular disease in children. AJR Am J Roentgenol. 2009;192(5):1219-31.
  • 16-Frank L, Dillman JR, Parish V, et al. Cardiovascular MR imaging of conotruncal anomalies. Radiographics 2010;30:1069-94.
  • 17-Vastel-Amzallag C, Le Bret E, Paul JF, Lambert V, Rohnean A, El Fassy E, et al. Diagnostic accuracy of dual-source multislice computed tomographic analysis for the preoperative detection of coronary artery anomalies in 100 patients with tetralogy of Fallot. J Thorac Cardiovasc Surg. 2011;142(1):120-6.
  • 18- Hrusca A, Rachisan AL, Gach P, Pico H, Sorensen C, Bonello B, et al. Detection of pulmonary and coronary artery anomalies in tetralogy of Fallot using non-ECG-gated CT angiography. Diagn Interv Imaging 2016;97:543-8.
  • 19- Özdemir R, Öner T , Demİrpençe S , Karadenİz C, Yılmazer M , Önder Doksöz1 , Güven B, Yozgat Y , Meşe T, Tavlı V , Sarıosmanoğlu ON , Emin Alp Alayunt E Fallot tetralojili olgularda tam düzeltme ameliyatı öncesi pulmoner arter gelişim indekslerini etkileyen faktörler: 100 olguda retrospektif gözlemsel bir değerlendirme İzmir Dr. Behçet Uz ÇocHast.

Fallot Tetralojili olguların Preoperatif Değerlendirilmesinde BT Anjiyografinin önemi; Tek merkez deneyimi

Yıl 2020, Cilt: 42 Sayı: 4, 373 - 377, 13.07.2020
https://doi.org/10.20515/otd.581245

Öz

Çalışmamızda Fallot tetralojili olgularda koroner ve pulmoner arter
anomalileri ve eşlik eden ekstrakardiyak malformasyonların değerlendirilmesinde
Bilgisayarlı Tomografi (BT) anjiyografinin tanısal önemi araştırıldı. Ayrıca
operasyon öncesi çekilen BT anjiyografinin cerrahi açıdan faydalarını
değerlendirmeyi amaçladık. Ocak 2016- Ocak 2018 tarihleri arasında Fallot
tetralojisi (pulmoner kapak yokluklu ve pulmoner atrezili dahil) tanısı konulan
olguların dosyaları geriye dönük olarak incelendi. Bilgisayarlı Tomografi
anjiyografi çekilmemiş olanlar ve dosyasında eksik veri bulunanlar çalışmaya
dahil edilmedi. Hastaların yaşı, cinsiyeti, operasyon yaşı, ekokardiyografi, BT
anjiyografi ve operasyon sonuçları değerlendirildi. Toplam 32 hasta çalışmaya
alındı. Ortalama yaşları 18±17 (1-84) ay idi. 32 hastanın 6’sında pulmoner
kapak atrezili ve 1 olguda pulmoner kapak yokluklu Fallot tetralojisi vardı. BT
anjiyografi ile saptadığımız ekstrakardiyak malformasyonlar 6 olguda
aortopulmoner kolleteral arter, 2 olguda retroaortik seyirli inominate ven,1
olguda aberran sağ subklavian arter ve 1olguda koroner arter anomalisi idi. Fallot
tetralojili hastalarda pulmoner arterlerin konfluensi, çapları ve aortopulmoner
kolleteral arter gibi vasküler yapıları göstermede BT anjiyografi önemlidir. Bu
inceleme cerrahi seçimi ve yaklaşım açısından belirgin fayda sağlamaktadır. 

Kaynakça

  • 1-Perry LW, Neill CA, Ferencz C, EUROCAT Working Party on. Congenital Heart Disease. Perspective in Pediatric Cardiology Epidemiology of congenital heart disease, the Baltimore-Washington Infant Study 1981–89. Armonk, NY: Futura; 1993. pp. 33-62.
  • 2-Oppenheimer DA, Bartelings MM, Wenink ACG. Anomalous architecture of the ventricles in hearts with overriding of aortic valve and a perimembranous ventricular septal defect ("Eisenmenger VSD") International Journal of Cardiology. 1989;9:341-355
  • 3-Anderson RH, Weinberg PM. The clinical anatomy of tetralogy of Fallot. Cardiology in the Young. 2005;15:38–47
  • 4-Van Praagh R. The first Stella Van Praagh memorial lecture:the history and anatomy of tetralogy of Fallot. Semin ThoracCardiovasc Surg Pediatr Card Surg Annu 2009;12:19-38.
  • 5-Freedom RM, Yoo SJ. Tetralogy of Fallot. In: Freedom RM, Yoo SJ, Mikailian H, Williams WG, eds. The natural and modified history of congenital heart disease. New York: Futura; 2004. p.186-211.
  • 6-Van Arsdell GS, Maharaj GS, Tom J, Rao VK, Coles JG, Freedom RM, et.al.What is the optimal age for repair of tetralogy of Fallot? Circulation. 2000;102:123-129.
  • 7-Sandoval JP, Chaturvedi RR, Benson L, Morgan G, Van Arsdell G, Honjo O,et al.Right ventricular outflow tract stenting in tetralogy of Fallot infants with risk factors for early primary repair. Circ Cardiovasc Interv. 2016;9:3979.
  • 8-Ntsinjana HN, Hughes ML, Taylor AM. The role of cardiovascularmagnetic resonance in pediatric congenital heart disease. JCardiovasc Magn Reson 2011;13:51.
  • 9-Ou P, Celermajer DS, Calcagni G et al (2007) Three-dimensional CT scanning: a new diagnostic modality in congenital heart disease. Heart 93:908-913
  • 10-Siegel MJ. Multiplanar and three-dimensional multi-detectorrow CT of thoracic vessels and airways in the pediatric popu-lation. Radiology 2003;229:641-50.
  • 11-Driessen MM, Breur JM, Budde RP, et al. Advances in cardiac magnetic resonance imaging of congenital heart disease. Pediatr Radiol 2015;45:5-19
  • 12-Kouchoukos NT, Blackstone EH, Doty DB. Ventricular sep¬tal defect with pulmonary stenosis or atresia.In Kirklin/Barratt-Boyes (eds) Cardiac Surgery, 3rd edn. Churchhill Livingstone, Philadelphia. 2003. p. 946-1073.
  • 13-Yilmaz M, Sargon MF, Dogan OF, Pasaoglu I. A very rare anatomic variation of the left brachiocephalic vein: Left retro-aortic brachiocephalic vein with tetralogy of Fallot. Surg Radiol Anat 2003;25(2):158-60
  • 14-Siripornpitak S, Pornkul R, Khowsathit P, Layangool T, Promphan W, Pongpanich B, Cardiac CT. Angiography in children with congenital heart disease. Eur J Radiol. 2013;82(7):1067-82.
  • 15-Dillman JR, Hernandez RJ. Role of CT in the evaluation of congenital cardiovascular disease in children. AJR Am J Roentgenol. 2009;192(5):1219-31.
  • 16-Frank L, Dillman JR, Parish V, et al. Cardiovascular MR imaging of conotruncal anomalies. Radiographics 2010;30:1069-94.
  • 17-Vastel-Amzallag C, Le Bret E, Paul JF, Lambert V, Rohnean A, El Fassy E, et al. Diagnostic accuracy of dual-source multislice computed tomographic analysis for the preoperative detection of coronary artery anomalies in 100 patients with tetralogy of Fallot. J Thorac Cardiovasc Surg. 2011;142(1):120-6.
  • 18- Hrusca A, Rachisan AL, Gach P, Pico H, Sorensen C, Bonello B, et al. Detection of pulmonary and coronary artery anomalies in tetralogy of Fallot using non-ECG-gated CT angiography. Diagn Interv Imaging 2016;97:543-8.
  • 19- Özdemir R, Öner T , Demİrpençe S , Karadenİz C, Yılmazer M , Önder Doksöz1 , Güven B, Yozgat Y , Meşe T, Tavlı V , Sarıosmanoğlu ON , Emin Alp Alayunt E Fallot tetralojili olgularda tam düzeltme ameliyatı öncesi pulmoner arter gelişim indekslerini etkileyen faktörler: 100 olguda retrospektif gözlemsel bir değerlendirme İzmir Dr. Behçet Uz ÇocHast.
Toplam 19 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm ORİJİNAL MAKALELER / ORIGINAL ARTICLES
Yazarlar

Tülay Demircan 0000-0002-2529-2906

Onur Işık Bu kişi benim

Muhammet Akyüz Bu kişi benim 0000-0002-5555-564X

Dilek Öncel Bu kişi benim 0000-0001-5341-5558

Ali Rahmi Bakiler 0000-0001-8234-3071

Yayımlanma Tarihi 13 Temmuz 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 42 Sayı: 4

Kaynak Göster

Vancouver Demircan T, Işık O, Akyüz M, Öncel D, Bakiler AR. Fallot Tetralojili olguların Preoperatif Değerlendirilmesinde BT Anjiyografinin önemi; Tek merkez deneyimi. Osmangazi Tıp Dergisi. 2020;42(4):373-7.


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