Bremerich J, Wyttenbach R, Buser P, Steinbrich W, Higgins C B
Department of Radiology, University of California San Francisco, USA.
Rofo. 1999 Apr;170(4):397-403. doi: 10.1055/s-2007-1011061.
An increasing number of patients with complex congenital heart disease reaches adulthood, because treatment and patient outcome have improved considerably in recent years. Monitoring of these patients requires both definition of cardiac anatomy and assessment of function with good reproducibility. Complications after surgical repair such as restenoses of pulmonary arteries after surgical repair of tetralogy of Fallot, ventricular hypertrophy, stenoses or leakage of baffles, or stenosis and aneurysms of anastomoses have to be detected at an early stage. Magnetic resonance imaging (MRI) is an excellent tool to monitor these patients because of its noninvasive nature, its good interstudy and interobserver reproducibility, and because it allows assessment of both cardiac anatomy and function. This paper reviews the current applications of MRI in complex congenital heart disease in adults.
近年来，由于治疗方法的改进和患者预后的显著改善，越来越多患有复杂先天性心脏病的患者存活至成年。对这些患者进行监测既需要明确心脏解剖结构，又需要对心脏功能进行评估，且要有良好的可重复性。必须早期检测出外科修复术后的并发症，如法洛四联症外科修复术后肺动脉再狭窄、心室肥厚、分流板狭窄或渗漏，或吻合口狭窄和动脉瘤。磁共振成像（MRI）是监测这些患者的理想工具，因为它具有非侵入性、良好的检查间和观察者间可重复性，并且能够评估心脏解剖结构和功能。本文综述了MRI在成人复杂先天性心脏病中的当前应用。
