Abstract
Rapid advances in surgical repair of congenital heart disease has led to ever increasing numbers surviving into adult life. A proportion of adult congenital heart disease (ACHD) patients will have had direct surgical intervention upon the coronary arteries which renders them vulnerable to issues in later life. There is no accepted method for either the surveillance of these patients nor for their investigation when presenting with new symptoms. This chapter argues for a shift in paradigm away from testing associated with radiation (nuclear techniques, computed tomography, coronary angiography) to a paradigm where stress perfusion cardiac magnetic resonance (CMR) imaging is used as a gatekeeper to determine who needs go on for formal catheterization. The technique of stress perfusion CMR is discussed along with its benefits and weaknesses. Practical illustrations of the technique’s utility are provided throughout the chapter.
| Original language | English |
|---|---|
| Title of host publication | Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care |
| Editors | Eduardo M. da Cruz, Dunbar Ivy, Viktor Hraska, James Jaggers |
| Place of Publication | London |
| Publisher | Springer London |
| Pages | 1-22 |
| Number of pages | 22 |
| ISBN (Electronic) | 9781447149996 |
| DOIs | |
| Publication status | Published - 30 Aug 2016 |
Keywords
- anomalous left/right coronary artery from the pulmonary artery (ALCAPA/ARCAPA)
- arterial switch
- calcified conduits and calcific masses
- cardiovascular magnetic resonance (CMR)
- congenital heart disease (CHD)
- coronary surveillance
- dark-rim artifact (DRA)
- dipyridamole
- ischemic stress CMR
- Kawasaki disease
- itinol-based devices
- perfusion imaging
- regadenoson
- stress perfusion CMR
- treadmill stress
- vasodilator
