Saleh Mahdi, Gendy David, Voges Inga, Nyktari Eva, Arzanauskaite Monika
Department of Radiology, Liverpool Heart and Chest Hospital, Liverpool, UK.
Department of Congenital Heart Disease and Paediatric Cardiology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Insights Imaging. 2022 Apr 25;13(1):78. doi: 10.1186/s13244-022-01201-y.
Congenital heart disease is the most common group of congenital pathology. Over the past few decades, advances in surgical treatment have resulted in a rising population of adult patients with repaired complex congenital heart disease. Although the quality of life has greatly improved, a significant proportion of morbidities encountered in clinical practice is now seen in adults rather than in children. These patients often have significant haemodynamic pathophysiology necessitating repeat intervention. CT and MRI are excellent imaging modalities, which help elucidate potential complications that may need urgent management. Although imaging should be performed in specialised centres, occasionally patients may present acutely to emergency departments in hospitals with little experience in managing potentially complex patients. The purpose of this article is to provide an introductory overview to the radiologist who may not be familiar with complex congenital heart disease in adult patients. This educational review has three main sections: (1) a brief overview of the post-operative anatomy and surgical management of the most common complex conditions followed by (2) a discussion on CT/MRI protocols and (3) a review of the various complications and their CT/MRI findings.
先天性心脏病是最常见的先天性疾病组。在过去几十年中，手术治疗的进展使接受过复杂先天性心脏病修复手术的成年患者数量不断增加。尽管生活质量有了很大提高，但目前临床实践中遇到的相当一部分发病率出现在成年人而非儿童中。这些患者通常有显著的血流动力学病理生理学改变，需要重复干预。CT和MRI是优秀的成像方式，有助于阐明可能需要紧急处理的潜在并发症。尽管成像应在专业中心进行，但偶尔患者可能会紧急就诊于对处理潜在复杂患者经验不足的医院急诊科。本文的目的是为可能不熟悉成年患者复杂先天性心脏病的放射科医生提供一个初步概述。这篇教育性综述有三个主要部分：（1）对最常见复杂病症的术后解剖结构和手术管理进行简要概述，接着是（2）关于CT/MRI检查方案的讨论，以及（3）对各种并发症及其CT/MRI表现的综述。
