Multidetector Computed Tomography Findings of Double-Outlet Right Ventricle Associated with Multiple Cardiac and Visceral Anomalies
DOI:
https://doi.org/10.1532/HSF98.20081065Abstract
A 25-year-old woman who had undergone the Blalock-Taussig shunt operation for double-outlet right ventricle (DORV) in her childhood was admitted to our hospital with mild cyanosis and dyspnea on exertion. To evaluate the precise complex anatomy of this abnormality, we carried out multidetector computed tomography (MDCT) angiography. MDCT clearly revealed both an occluded Blalock-Taussig shunt and a complex cardiac anatomy, including DORV, a doubly committed ventriculoseptal defect, pulmonary stenosis, persistent left superior vena cava, minor aortic arch anomalies, and total anomalous hepatic venous drainage. To our knowledge, our report is the first description of such a complex cardiac anatomy to be revealed with MDCT.References
Artrip JH, Sauer H, Campbell DN, et al. 2006. Biventricular repair in double outlet right ventricle: surgical results based on the STS-EACTS International Nomenclature classification. Eur J Cardiothorac Surg 29:545-50.nChen SJ, Lin MT, Liu KL, et al. 2008. Usefulness of 3D reconstructed computed tomography imaging for double outlet right ventricle. J Formos Med Assoc 107:371-80.nDidier D, Higgins CB, Fisher MR, Osaki L, Silverman NH, Cheitlin MD. 1986. Congenital heart disease: gated MR imaging in 72 patients. Radiology 158:227-35.nHartnell GG, Notarianni M. 1998. MRI and echocardiography: How do they compare in adults? Semin Roentgenol 33:252-61.nIlica AT, Bilici A, Ilhan A, Kara M, Gür S. 2007. Thoracoabdominal aorta coarctation with bilateral renal artery involvement: diagnosis with multidetector CT angiography (MDCTA). Int J Cardiovasc Imaging 23:645-8.nKantarci M, Koplay M, Bayraktutan U, Gundogdu F, Ceviz N. 2007. Congenitally corrected transposition of the great arteries: MDCT angiography findings and interpretation of complex coronary anatomy. Int J Cardiovasc Imaging 23:405-10.nKirklin JW, Barrat-Boyes BG., eds. 1980. Cardiac surgery. New York, NY: Futura. p 271-316.nPannu HK, Flohr TG, Corl FM, Fishman EK. 2003. Current concepts in multi-detector row CT evaluation of the coronary arteries: principles, techniques, and anatomy. Radiographics 23:111-25.n
