Type:
Educational Exhibit
Keywords:
Congenital, Complications, MR-Angiography, MR, CT, Paediatric, Cardiovascular system, Cardiac, Not applicable
Authors:
T. Balasko Josipovic, M. Mursic, I. Sjekavica, M. Hrabak Paar; Zagreb/HR
DOI:
10.26044/ecr2020/C-08430
Conclusion
Cardiac MRI represents an ideal tool for noninvasive follow-up in all patients with RV dysfunction. It allows early recognition of ventricular dilation and impending failure, which helps the either medical or surgical treatment of ccTGA.
Defining the group of ccTGA patients who remain asymptomatic and may never require surgery is of paramount importance because late diagnosis and inadequate evaluation of progressive RV dysfunction greatly impact the quality of life. Today there is still a significant number of patients treated by physiological surgery, while the anatomical double-switch surgery has yet to show its long period results. Nevertheless, both asymptomatic and surgically treated patients need lifelong surveillance and with current diagnostic modalities, the therapeutic dilemma persists. The only way for a radiologist to overcome this problem is to gain a wide knowledge of ccTGA cardiovascular anatomy and cooperate with referring clinicians to improve quality of life and expectancy.