Javidan-Nejad Cylen, Tomasian Anderanik, Najafpour Elham
Mallinckrodt Institute of Radiology, Section of Cardiothoracic Imaging, Washington University, 510 South Kingshighway Blvd., Box 8131, St. Louis, MO, 63110, USA,
Curr Treat Options Cardiovasc Med. 2013 Oct;15(5):663-74. doi: 10.1007/s11936-013-0270-5.
Many adults with simple and complex congenital heart disease (CHD) survive to adulthood. The goal of imaging is to diagnose the underlying anomalies and to detect late complications of their CHD and past surgical repair, in order to assess the need for further intervention and better prepare for endovascular or open-heart surgery. Cardiac magnetic resonance imaging (MRI) and computerized tomography (CT) are increasingly utilized in this patient population, due to the technical advances made to these modalities in the past decade regarding image acquisition and reconstruction, spatial and temporal resolution, and radiation dose reduction. Here, we aim to review the role of cardiac MR in initial diagnosis, pre-treatment planning and post-surgical follow-up of adults with CHD, and to discuss the ancillary role of cardiac CT in these patients.
许多患有简单和复杂先天性心脏病（CHD）的成年人存活至成年期。成像的目的是诊断潜在的异常情况，并检测其CHD及既往手术修复的晚期并发症，以便评估进一步干预的必要性，并为血管内或心脏直视手术做好更好的准备。由于在过去十年中，心脏磁共振成像（MRI）和计算机断层扫描（CT）在图像采集与重建、空间和时间分辨率以及辐射剂量降低等方面取得了技术进步，因此在这一患者群体中越来越多地被使用。在此，我们旨在综述心脏磁共振成像在先天性心脏病成年患者的初始诊断、治疗前规划和术后随访中的作用，并讨论心脏CT在这些患者中的辅助作用。
