Division of Pediatric Cardiology, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands.
J Magn Reson Imaging. 2012 Sep;36(3):511-28. doi: 10.1002/jmri.23604.
The survival of patients with congenital heart disease (CHD) has greatly improved over the past decades. Nevertheless, lifelong follow-up is required in postoperative CHD patients, and noninvasive imaging plays an important role during follow-up. Cardiac MR (CMR) imaging enables comprehensive imaging of cardiac function and anatomy, and helps to detect patients who need re-intervention and to predict clinical outcome. Postoperative CHD patients who are frequently referred for CMR evaluation include those with coarctation of the aorta, tetralogy of Fallot, transposition of the great arteries, and single ventricle patients after the Fontan procedure. This article reviews the current clinical role of CMR in these various subgroups of postoperative CHD patients. Furthermore, an overview of novel CMR applications and their clinical value in CHD patients is provided.
在过去的几十年中，先天性心脏病（CHD）患者的生存率有了显著提高。然而，手术后的 CHD 患者需要终身随访，非侵入性成像在随访中起着重要作用。心脏磁共振（CMR）成像可以全面评估心脏功能和解剖结构，有助于发现需要再次干预的患者，并预测临床结果。经常接受 CMR 评估的术后 CHD 患者包括主动脉缩窄、法洛四联症、大动脉转位和 Fontan 手术后的单心室患者。本文综述了 CMR 在这些不同术后 CHD 亚组患者中的临床应用。此外，还概述了 CMR 在 CHD 患者中的新应用及其临床价值。
