CMR Unit, Royal Brompton Hospital and Imperial College, London, UK.
Prog Cardiovasc Dis. 2011 Nov-Dec;54(3):295-304. doi: 10.1016/j.pcad.2011.07.006.
The comprehensive coverage and versatility of cardiovascular magnetic resonance (CMR), providing functional as well as anatomical information, make it an important facility in a center specializing in the care of adults with congenital heart disease. Imaging specialists using CMR to investigate acquired heart disease should also be able to recognize and evaluate previously unsuspected congenital malformations. Conditions that may present or be picked up during imaging in adulthood include atrial septal defect, anomalously connected pulmonary veins, double-chambered right ventricle, congenitally corrected transposition of the great arteries, aortic coarctation, and patent arterial duct. To realize its full potential and to avoid pitfalls, CMR of adults with congenital heart disease requires specific training and experience. Appropriate pathophysiological understanding is needed to evaluate cardiovascular function after surgery for tetralogy of Fallot, after transposition of the great arteries, and after Fontan operations. For these and other more complex cases, CMR should ideally be undertaken by specialists committed to long-term collaboration with the clinicians and surgeons managing the patients in a tertiary referral center.
心血管磁共振（CMR）具有全面的覆盖范围和多功能性，可提供功能和解剖学信息，使其成为专门治疗成人先天性心脏病的中心的重要设备。使用 CMR 研究获得性心脏病的成像专家也应该能够识别和评估以前未怀疑的先天性畸形。在成年期进行成像时可能出现或发现的病症包括房间隔缺损、肺静脉异常连接、双腔右心室、先天性矫正性大动脉转位、主动脉缩窄和动脉导管未闭。为了充分发挥其潜力并避免陷阱，需要对患有先天性心脏病的成年人进行特定的培训和经验。需要适当的病理生理学理解来评估法洛四联症、大动脉转位和 Fontan 手术后的心血管功能。对于这些和其他更复杂的病例，CMR 最好由致力于与管理患者的临床医生和外科医生在三级转诊中心进行长期合作的专家进行。
