E1677. Adult with Repaired Congenital Heart Disease: Primer for Radiologists
University of California - San Diego
Children with congenital heart disease are increasingly surviving into adulthood with ongoing advances in surgical and medical therapy. Given the increased prevalence of adult patients with repaired congenital heart disease, it is important for radiologists to be familiar with the expected postoperative imaging appearance of congenital heart diseases including anomalous pulmonary venous return, Tetralogy of Fallot, Transposition of the Great Arteries, single ventricle anomalies such as tricuspid valve atresia, truncus arteriosus, and aortic coarctation.
Educational Goals / Teaching Points
Review different methods of surgical repair including atrial switch, arterial switch, Glenn shunts, Fontan procedure, pulmonary artery banding, Rastelli procedure, and Damus-Kaye-Stansel procedure. Provide case examples of the expected postsurgical appearance. Review long-term complications post op that may be encountered in adulthood with illustrative cases.
Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Using the segmental approach to describe anatomy in congenital heart disease. Demonstrate anatomical findings that should clue the radiologist patient is post surgical repair and also help the radiologist determine what kind of repair. Will include cases with 4D Flow MRI which illustrate the hemodynamics of adult congenital heart disease.
This educational exhibit will equip radiologists with the knowledge to identify the post-operative imaging appearance of congenital heart disease in adults.