University of Toronto, Division of Cardiology, Mount Sinai Hospital and University Health Network, Toronto, Ontario, Canada.
Can J Cardiol. 2013 Jul;29(7):830-40. doi: 10.1016/j.cjca.2013.04.020. Epub 2013 May 29.
Advances in pediatric surgical and interventional techniques and medical care over the past 50 years have revolutionized the care of children with congenital heart disease. Survival to adulthood is now expected and, as such, there is a growing population of adults which is exceeding the pediatric population with congenital heart disease. Noninvasive cardiac imaging with modalities such as echocardiography, computed tomography, and cardiac magnetic resonance imaging are integral to the care of adults with congenital heart disease. These modalities are used for diagnosis, surveillance for complications late after surgery and catheter-based interventions, and in decision-making for medical, interventional, and surgical therapies. In this review we will discuss noninvasive imaging modalities used to assess congenital cardiac lesions, imaging strategies for select congenital lesions, and comment on the future of cardiac imaging in congenital heart disease.
在过去的 50 年中，儿科外科和介入技术以及医疗护理的进步彻底改变了先天性心脏病患儿的治疗方式。现在，人们期望患儿能够成年，因此，患有先天性心脏病的成年人数量不断增加，超过了儿科人群。超声心动图、计算机断层扫描和心脏磁共振成像等非侵入性心脏成像技术是先天性心脏病成人患者治疗的重要组成部分。这些技术可用于诊断、监测手术后和导管介入治疗后的并发症，并为药物、介入和手术治疗提供决策依据。在这篇综述中，我们将讨论用于评估先天性心脏病变的非侵入性成像方式、选择先天性病变的成像策略，并对先天性心脏病中心脏成像的未来进行评论。
