Tricuspid atresia MRI: Difference between revisions

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{{CMG}}'''Associate Editor-In-Chief:''';{{Sara.Zand}}  [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu] [[Priyamvada Singh|Priyamvada Singh, MBBS]] [mailto:psingh13579@gmail.com]; '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu]


'''Associate Editor-In-Chief:''' [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu] [[Priyamvada Singh|Priyamvada Singh, MBBS]] [[mailto:psingh@perfuse.org]]
===Overview===


'''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [[mailto:kfeeney@perfuse.org]]
[[Cardiac MRI]](CMR) is commonly used for long term management of Fontan patients.


=='''Overview'''==
==MRI==  
[[Magnetic resonance imaging]] can be helpful as a diagnostic tool in conditions where the echocardiographic findings are inconclusive.
Common advantages of [[cardiac MRI]] (CMR) in [[ tricuspid atresia]] include:<ref name="YeongLoughborough2017">{{cite journal|last1=Yeong|first1=Michael|last2=Loughborough|first2=Will|last3=Hamilton|first3=Mark|last4=Manghat|first4=Nathan|title=Role of cardiac MRI and CT in Fontan circulation|journal=Journal of Congenital Cardiology|volume=1|issue=1|year=2017|issn=2056-7251|doi=10.1186/s40949-017-0010-x}}</ref>


=='''Magnetic resonance imaging'''==
*Assessment of [[cardiac anatomy]] and function with a high spatial resolution
===ACC/AHA Guidelines - Recommendation for Imaging (DO NOT EDIT)===
*Assessment of complications of Fontan circuit 
{{cquote|
*Assessment of [[vascular anatomy]]
===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]===
*Assessment of [[ventricular volume]] and [[systolic]] and [[diastolic]] function
# All patients with prior Fontan type of repair should have periodic echocardiographic and/or magnetic resonance examinations performed by staff with expertise in ACHD. (Level of Evidence: C)}}
*Assessment of [[flow velocity]]
 
*Assessment of myocardial focal [[fibrosis ]]  
Magnetic resonance imaging ([[MRI]]) can be used as a diagnostic modality in congenital heart diseases.
*Assessment of thrombosis in Fontan circuit
 
'''Advantages of using MRI are'''-
 
* It can be used in cases where echocardiographic results are inconclusive.
* Helps in measuring heart volumes, blood flow and ventricular wall thickness.
* The [[magnetic resonance angiography]] helps in better visualization of heart vasculature
* Phase velocity mapping helps in measuring the ratio of pulmonary to systemic blood flow (Qp:Qs).
 
'''Disadvantage'''-
 
For successful MRI procedure breath holding is required, which is sometimes difficult to achieve with small kids. Due to this, the procedure is done under general anesthesia in children.


==References==
==References==
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Latest revision as of 17:24, 8 November 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor-In-Chief:;Sara Zand, M.D.[2] Keri Shafer, M.D. [3] Priyamvada Singh, MBBS [4]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [5]

Overview

Cardiac MRI(CMR) is commonly used for long term management of Fontan patients.

MRI

Common advantages of cardiac MRI (CMR) in tricuspid atresia include:[1]

References

  1. Yeong, Michael; Loughborough, Will; Hamilton, Mark; Manghat, Nathan (2017). "Role of cardiac MRI and CT in Fontan circulation". Journal of Congenital Cardiology. 1 (1). doi:10.1186/s40949-017-0010-x. ISSN 2056-7251.

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