Cook Stephen C, Dyke Peter C, Raman Subha V
The Ross Heart Hospital, The Ohio State University, Columbus, OH, USA.
J Cardiovasc Comput Tomogr. 2008 Jan;2(1):12-22. doi: 10.1016/j.jcct.2007.11.001. Epub 2007 Nov 19.
The purpose of this study was to evaluate the role of cardiac computed tomography (CT) in the care of adults with congenital heart disease (CHD).
A retrospective analysis of adult patients with CHD who underwent cardiac CT from April 2005 to May 2006 was performed. Data collected included diagnosis, presence or absence of cardiac symptoms, presence or absence of a pacemaker or defibrillator, anatomic and functional abnormalities, and the need for subsequent surgical or transcatheter intervention based on cardiac CT findings.
Eighty-seven adult patients with CHD underwent cardiac CT during this period. Fifty-four subjects had cardiac CT findings that warranted possible transcatheter or surgical interventions or both. Of these, 30 patients went on to transcatheter or surgical intervention based on cardiac CT results. Twenty (37%) subjects of the study population had either pacemaker or implantable cardioverter defibrillator.
Cardiac CT provides important volumetric imaging information to guide management in adult patients with CHD.
本研究旨在评估心脏计算机断层扫描（CT）在先天性心脏病（CHD）成人患者治疗中的作用。
对2005年4月至2006年5月期间接受心脏CT检查的CHD成年患者进行回顾性分析。收集的数据包括诊断结果、有无心脏症状、有无起搏器或除颤器、解剖和功能异常情况，以及基于心脏CT检查结果是否需要后续手术或经导管介入治疗。
在此期间，87例CHD成年患者接受了心脏CT检查。54例患者的心脏CT检查结果表明可能需要经导管或手术干预，或两者皆需。其中，30例患者根据心脏CT结果接受了经导管或手术干预。研究人群中有20例（37%）患者装有起搏器或植入式心脏复律除颤器。
心脏CT可为CHD成年患者的治疗管理提供重要的容积成像信息。
