Eisenmenger’s syndrome CT
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Priyamavada Singh, MBBS [2], Kristin Feeney, B.S. [3], Abdelrahman Ibrahim Abushouk, MD[4]
Overview
Computed tomography can be helpful as a diagnostic tool in conditions where the echocardiographic findings are inconclusive. The findings on CT scan may include large main pulmonary artery, ventricular septal defect, and right ventricular hypertrophy.
CT
Computed tomography can be used as a diagnostic modality in congenital heart diseases.
Advantages
- Provides additional anatomic details compared to echocardiography
- It is done faster compared to MRI, thus avoiding the need for anesthesia in children.
Disadvantages
- Costly
- Radiation can have long terms side-effect on growing children.
Findings
The findings of CT scan examination in Eisenmenger’s syndrome include [1][2]:
- Large main pulmonary artery
- Ventricular septal defect
- Right ventricular hypertrophy
- Pulmonary neovascularity
- Pulmonary artery calcification.
References
- ↑ Sheehan R, Perloff JK, Fishbein MC, Gjertson D, Aberle DR (2005). “Pulmonary neovascularity: a distinctive radiographic finding in Eisenmenger syndrome”. Circulation. 112 (18): 2778–85. doi:10.1161/CIRCULATIONAHA.104.509869. PMID 16267251.
- ↑ Cohen BA, Gale JT, Mendelson DS, Mitty HA (1985). “Computer tomography demonstration of pulmonary artery calcification in Eisenmenger’s syndrome”. J Comput Tomogr. 9 (2): 153–6. doi:10.1016/0149-936x(85)90012-8. PMID 3987335.
- ↑ https://prod-images-static.radiopaedia.org/images/5047478/09a82e223bed30fe041bfc779595bd_big_gallery.jpg/
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