De Cecco Carlo N, Muscogiuri Giuseppe, Madrid Pérez José M, Eid Marwen, Suranyi Pal, Lesslie Virginia W, Bastarrika Gorka
*Department of Radiology and Radiological Science, Division of Cardiovascular Imaging, Medical University of South Carolina, Charleston, SC †Department of Imaging, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy ‡Department of Radiology, Clínica Universidad de Navarra, Pamplona, Spain.
J Thorac Imaging. 2017 Jul;32(4):217-232. doi: 10.1097/RTI.0000000000000273.
The survival rate of patients with congenital heart disease (CHD) has dramatically improved over the last 2 decades because of technological and surgical advances in diagnosis and treatment, respectively. The vast majority of CHD patients are, in fact, amenable to treatment by either device closure or surgery. Considering the wide spectrum of surgical procedures and complex native and derived anatomy, continuous and detailed follow-up is of paramount importance. Cardiac magnetic resonance and cardiac computed tomography angiography are the cornerstones of diagnosis and follow-up of CHD, allowing for comprehensive noninvasive assessment of the heart, coronary tree, and intrathoracic great vessels, along with both morphological and functional evaluation. The aim of this pictorial review is to provide an overview of the most common CHDs and their related surgical procedures as familiarity with the radiological findings of grown-up congenital heart disease patients is crucial for proper diagnostic and follow-up pathways.
在过去20年中，由于诊断和治疗技术及手术的进步，先天性心脏病（CHD）患者的生存率显著提高。事实上，绝大多数CHD患者适合通过器械封堵或手术进行治疗。考虑到手术方式的多样性以及复杂的原生和衍生解剖结构，持续且详细的随访至关重要。心脏磁共振成像和心脏计算机断层血管造影是CHD诊断和随访的基石，能够对心脏、冠状动脉树和胸内大血管进行全面的无创评估，同时进行形态学和功能评估。本图文综述的目的是概述最常见的CHD及其相关手术方式，因为熟悉成年先天性心脏病患者的影像学表现对于正确的诊断和随访路径至关重要。
