Cardiac Ct And Mr For Adult Congenital Heart Disease

​​This is the first major textbook to address both computed tomography (CT) and magnetic resonance (MR) cardiac imaging of adults for the diagnosis and treatment of congenital heart disease (CHD). Since the introduction of faster CT scanners, there has been tremendous advancement in the diagnosis of CHD in adults. This is mostly due to the higher spatial resolution of CT compared to MR, which enables radiologists to create more detailed visualizations of cardiac anatomic structures, leading to the discovery of anomalous pathologies often missed by conventional MR imaging. This book is unique in highlighting the advantages of both CT and MR for the diagnosis of CHD in adults, focusing on the complementary collaboration between the two modalities that is possible. Chapters include discussions of case examples, clinical data, MR and CT image findings, and correlative cadaveric pictures. The chapters focus not only on the diagnosis of the primary problem, but also give readers information on visual clues to look for that often reveal associated pathologies. This book appeals primarily to diagnostic and interventional radiologists, as well as cardiologists and interventional cardiologists.

The aims and scope of this atlas include a complete review of the embryology of the normal heart, the normal cardiac anatomy along with a complete discussion of the terms and definitions used to identify and clarify both normal and abnormal anatomy. In addition, techniques of cardiac CT angiography as it pertains to imaging congenital abnormalities are discussed including radiation concepts and radiation saving techniques. The bulk of this book then goes on to completely review the field of adult congenital heart disease using text and more importantly a multitude of pictorial examples (in color and grey scale) to demonstrate the abnormalities. Drawings accompany each picture to better explain the example. Furthermore, difficult and complex anatomical examples are supplemented with digital images and movies to aid in illustrating and understanding the anatomy. Each general set of anomalies as well as each specific abnormality or set of abnormalities includes a concise and simple review of the embryology and epidemiology of the abnormality as well as a concise explanation of the anatomy of the abnormality. In addition, the methods to identify and recognize the abnormality by computed tomography is discussed. Finally, the prognosis and common treatment options for the anomaly are addressed within this comprehensive book.

In the United States, there are approximately 1 million adults with congenital heart disease, with 20,000 new patients reaching adolescence each year. With early pediatric diagnosis, improved medical, surgical and post operative care, it is now expected that 90% of patients born with congenital heart disease (CHD) will survive to adulthood. Therefore, the number of adult CHD (ACHD) patients will continue to rise. In fact, it is now estimated that for the first time in history, there are more adults living with CHD than children. The cardiologist who deals with these patients must therefore be familiar with congenital heart lesions in their uncomplicated state and know appropriate testing and follow-up methods. Also the inherent complexity of this type of cardiovascular disease really needs a comprehensive, multimedia included, practical and case base approach and assessment. The aim of this book is to provide a case base approach to adult patients with congenital heart disease including all diagnostic and treatment methods focus on physical exam, ECG, chest X-Ray, heart sounds, advanced echocardiography including of TTE & TEE, cardiac CT, CMR, catheterization, interventional procedures, surgery and also anesthesia highlights in these patients.

This book presents a systematic overview of the most common cardiovascular defects as they are observed in adults, with a particular focus on the long-term effects and issues that may arise following surgical or interventional repair. In-depth information is provided on the standard of repair or palliation and on the role of different imaging techniques, especially CT and MRI, in the evaluation of these patients. Each chapter includes a detailed imaging protocol and describes the management appropriate to particular conditions and circumstances. Congenital heart disease (CHD) is one of the most common inborn defects. The success in treating CHD in children, even when they have complex cardiovascular defects, is resulting in a steady increase in the number of adults with CHD who need to be followed up clinically and by imaging owing to the potential for late sequelae. In providing expert, up-to-date guidance on selection of imaging modality, image interpretation, and management, this book will be a valuable resource for all radiologists, cardiologists, and pediatricians who are responsible for the care of adult and adolescent patients with CHD.

The diagnosis and management of congenital heart defects has rapidly evolved over the decades. This book presents the role that cardiac CT and MRI may play in the management of congenital heart defects.

Diagnosis and Management of Adult Congenital Heart Disease, by Drs. Gatzoulis, Webb, and Daubeney, is a practical, one-stop resource designed to help you manage the unique challenges of treating long-term adult survivors of congenital heart disease. Authored by internationally known leaders in the field, this edition is the first that truly integrates anatomy and imaging technology into clinical practice, and includes new chapters on cardiac CT for ACHD assessment, critical and perioperative care, anesthesia for ACHD surgery, cardiac resynchronization therapy, and transition of care. Congenital defects are presented with high-quality illustrations and appropriate imaging modalities. Find all the information you need in one user-friendly resource that integrates anatomy, clinical signs, and therapeutic options. Confidently make decisions aided by specific recommendations about the benefits and risks of surgeries, catheter interventions, and drug therapy for difficult clinical problems. Recognize and diagnose morphologic disorders with the help of detailed, full-color diagrams. Quickly find what you need thanks to easily accessible, consistently organized chapters and key annotated references. Keep pace with the latest advancements including five new chapters on cardiac CT for ACHD assessment, critical and perioperative care, anaesthesia for ACHD surgery, cardiac resynchronisation therapy, and transition of care Comply with the latest European Society of Cardiology (ESC) and American College of Cardiology (ACC) practice guidelines - integrated throughout the book - for cardiac pacing and cardiac resynchronisation therapy See imaging findings as they appear in practice and discern subtle nuances thanks to new, high-quality images and illustrations Integrates anatomy, clinical signs and therapeutic options of congenital heart disease both in print and online!

The last 10 years has seen explosive expansion of the number of centres performing cardiov- cular magnetic resonance (CMR) imaging. The majority of this expansion has been in the ? eld of adult ischaemic imaging, but congenital heart disease remains one of the main indications for CMR. Importantly, the greatly improved survival of patients with congenital heart disease gives us a burgeoning adult population living with the sequelae of the disease (grown-up c- genital heart disease – GUCH). Without previous experience or formal training, the interpretation of CMR images of patients with congenital heart disease can be dif? cult. The main aim of this book is to create a portable resource that offers ef? cient access to high-quality MR (and where appropriate, CT) images of the common congenital and structural heart abnormalities. We hope that by prov- ing key images for each condition and a clear interpretation of the MR appearances, we will improve the reader’s understanding of the conditions, facilitate their interpretation of images and optimise the planning of the imaging protocols during their own practice of congenital CMR. As with any publication from a single institution, the contents of this book represent our own practice. We have not written a de? nitive or exhaustive description of the conditions.

This heavily updated textbook focuses on the use of cardiac magnetic resonance (CMR) imaging in pediatric and adult patients with congenital heart disease. Over past two decades, CMR has come to occupy an ever more important place in the assessment and management of patients with congenital heart defects (CHD) and other cardiovascular disorders. The modality offers an ever-expanding amount of information about the heart and circulation, provides outstanding images of cardiovascular morphology and function, is increasingly being used to detect pathologic fibrosis, and has an expanding role in the assessment of myocardial viability. Magnetic Resonance Imaging of Congenital Heart Disease is an excellent foundation for any reader not familiar with the field whether they are imagers or clinicians who deal with cardiovascular disease. It also describes the technical details of MRI techniques to help the clinician understand the most important elements of CMR in assessing and managing their patients. In creating the book, the editors have assembled a world-renowned panel of contributors to review the use of CMR in CHD and make it accessible to those working in the field and to those who use the information derived from CMR in their clinical practice.