Ho Vincent B
Department of Radiology, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814, USA.
J Am Coll Radiol. 2008 Feb;5(2):97-104. doi: 10.1016/j.jacr.2007.10.010.
The number of adults with congenital heart disease is increasing in North America. This is attributable to a variety of factors, including improvements in surgical techniques and increases in immigration. Cardiac imaging is critical for the initial assessment of adults with newly suspected congenital heart disease as well as for the serial assessment of adults with known congenital heart disease. Chest radiography and echocardiography continue to be the initial tools used to evaluate adult congenital heart disease. However, cardiac computed tomography and magnetic resonance imaging have significantly improved over the years and have become integral to the evaluation of adult congenital heart disease, often precluding the necessity for invasive cardiac catheterization. Noninvasive imaging is particularly useful for the surveillance of patients with surgically corrected congenital heart disease, who often require 2 or more additional operations.
在北美，患有先天性心脏病的成年人数量正在增加。这可归因于多种因素，包括外科技术的改进和移民人数的增加。心脏成像对于新怀疑患有先天性心脏病的成年人的初始评估以及已知患有先天性心脏病的成年人的系列评估至关重要。胸部X线摄影和超声心动图仍然是用于评估成人先天性心脏病的初始工具。然而，多年来心脏计算机断层扫描和磁共振成像有了显著改进，已成为成人先天性心脏病评估不可或缺的一部分，常常使侵入性心脏导管插入术不再必要。非侵入性成像对于接受过先天性心脏病手术矫正的患者的监测特别有用，这些患者通常还需要进行两次或更多次额外手术。
