Keywords:
Congenital, Cirrhosis, Arteriovenous malformations, Statistics, Diagnostic procedure, Complications, Ultrasound, MR, CT, Pulmonary vessels, Cardiac, Abdomen
Authors:
N. Pereira da Silva, A. Antunes, A. Marinho da Silva, F. Cruz, P. Donato; Coimbra/PT
DOI:
10.26044/ecr2019/C-3259
Methods and materials
A review of our institution’s database over the last 30 years retrieved data from 37 patients (19 female,
18 male) that underwent Fontan procedures from January of 1987 to October 2014.
Of these,
18 patients were excluded due to incomplete imaging records.
Imaging studies (including “B-mode” US,
CT,
MRI and conventional angiography) from the remaining 19 patients (8 female,
11 male; age range: 2-39 years old at the date of the last imagological study,
median age: 19 years old) were reviewed in order to determine the presence of cardiac and extracardiac complications due to post-Fontan status.
All but two patients had at least one cardiac MR (n=17),
8 patients had ECG-gated cardiac CT studies,
while 5 had non-gated angiothoracic CT examinations.
Abdominal complications were assessed using abdominal CT in six patients (n=6),
conventional US in eleven (n=11),
and also using thoracic examinations as the abdomen (namely the liver parenchyma) it was at least partially viewed in most chest CT and cardiac MR studies.