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Atrial septal defect CT

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [4]

Overview

Computed tomography can be helpful as a diagnostic tool in conditions where the echocardiographic findings are inconclusive. It is not the technique of choice as it has limitations in defining shunt volume and pressure differences.

CT

Advantages

  • Provides additional anatomic details compared to echocardiography.
  • Helps in visualization of the aberrant pulmonary venous return (seen in sinus venosus defect). [1]
  • Done faster compared to MRI.
  • Avoids the need for general anesthesia in children.
  • Can identify associated heart anomalies.[1]

Disadvantages

  • Costly
  • Radiation can have long terms side-effect on growing children.
  • Not a modality for detecting or quantify a defect.[1]
  • Not a modality for quantifying shunt volume and pressure differences.[1]

References

  1. 1.0 1.1 1.2 1.3 Prokop, M., Galanski, M., Van Der Molen, A.J., Schaefer-Prokop, C. (2001). Spiral and multislice computed tomography of the body. pp. 788–789. Unknown parameter |city= ignored (help)

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