Patent foramen ovale CT
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Ifeoma Odukwe, M.D. [2], Priyamvada Singh, M.B.B.S. [3], Kristin Feeney, B.S. [4]
Overview
Cardiac CT scan may be helpful in the diagnosis of patent foramen ovale. Findings on CT scan suggestive of/diagnostic of patent foramen ovale include presence of a distinct “flap” in the left atrium at the expected location of the septum primum, presence of a continuous “column” of contrast material between the septum primum and septum secundum, connecting the left and right atria, and presence of a “jet” of contrast material from the column into the right atrium.
CT Scan
Patent foramen ovale may be diagnosed with ECG-gated cardiac CT angiography using 64-MDCT (multidetector computed tomography). Findings on cardiac CT scan suggestive of/diagnostic of patent foramen ovale include:[1]
- Presence of a distinct “flap” in the left atrium at the expected location of the septum primum.
- Presence of a continuous “column” of contrast material between the septum primum and septum secundum, connecting the left and right atria.
- Presence of a “jet” of contrast material from the column into the right atrium.
References
- ↑ Williamson, Eric E.; Kirsch, Jacobo; Araoz, Philip A.; Edmister, Whitney B.; Borgeson, Daniel D.; Glockner, James F.; Breen, Jerome F. (2008). "ECG-Gated Cardiac CT Angiography Using 64-MDCT for Detection of Patent Foramen Ovale". American Journal of Roentgenology. 190 (4): 929–933. doi:10.2214/AJR.07.3140. ISSN 0361-803X.