Livolsi A, Kastler B, Germain P, Messer J, Willard D, Wackenheim A
Service de Pédiatrie 2, Hôpital de Hautepierre, Strasbourg.
Ann Cardiol Angeiol (Paris). 1991 Mar;40(3):129-33.
Between February 1988 and July 1989, the authors used magnetic resonance imaging (MRI) to study 54 newborn infants aged between 2 and 35 days and suspected of congenital heart disease. All children also underwent echocardiography and 7 angiography during the neonatal period (13% of children studied). MRI was well tolerated and there were no adverse events. MRI proved to be complementary to echocardiography in several lesions affecting the great vessels of the base and the left atrial region. Agreement between angiography and MRI results was very good, with MRI being more useful in one case. MRI enables full and non-invasive postoperative follow-up. In conclusion, despite the great heterogenicity of the cardiac malformations studied and which requires a degree of caution, the authors feel that MRI is a second line investigation after echocardiography. It may limit the indications of angiography. Its own indications are the retrocardiac region, the main arteriovenous vessels of the base and postoperative follow-up in congenital heart disease. The development of techniques such as angio RM will further modify data in the future.
1988年2月至1989年7月期间，作者使用磁共振成像（MRI）对54名年龄在2至35天之间、疑似患有先天性心脏病的新生儿进行了研究。所有儿童在新生儿期还接受了超声心动图检查，7名儿童接受了血管造影检查（占研究儿童的13%）。MRI耐受性良好，未出现不良事件。在影响心底大血管和左心房区域的几种病变中，MRI被证明是对超声心动图的补充。血管造影和MRI结果之间的一致性非常好，在1例病例中MRI更有用。MRI能够进行全面的非侵入性术后随访。总之，尽管所研究的心脏畸形具有很大的异质性，需要一定程度的谨慎，但作者认为MRI是超声心动图之后的二线检查方法。它可能会限制血管造影的适应症。其自身的适应症是心后区域、心底主要动静脉血管以及先天性心脏病的术后随访。诸如血管造影MRI等技术的发展将在未来进一步改变相关数据。
