Multimodality Imaging Evaluation of Diseases of the Pulmonic Valve and Right Ventricular Outflow Tract for the Adult Cardiologist

被引:1
作者
Murphy, Sean P. [1 ,2 ]
Sultana, Sadia [2 ]
Zern, Emily K. [3 ]
Tower-Rader, Albree [1 ,2 ]
Churchill, Jessica L. [4 ]
Stefanescu Schmidt, Ada C. [1 ]
Huang, Sihong [1 ]
Learn, Christopher P. [1 ]
Churchill, Timothy W. [1 ]
DeFaria Yeh, Doreen [1 ]
Yucel, Evin [1 ]
机构
[1] Massachusetts Gen Hosp, Div Cardiol, Boston, MA USA
[2] Massachusetts Gen Hosp, Div Radiol, Boston, MA USA
[3] Los Angeles Gen Med Ctr, Div Cardiol, Los Angeles, CA USA
[4] Brown Univ, Warren Alpert Med Sch, Providence, RI USA
关键词
congenital heart disease; echocardiography; magnetic resonance imaging; multidetector computed tomography; pulmonary valve; CARDIOVASCULAR MAGNETIC-RESONANCE; REPAIRED TETRALOGY; AMERICAN SOCIETY; ECHOCARDIOGRAPHIC-ASSESSMENT; DOPPLER-ECHOCARDIOGRAPHY; COMPUTED-TOMOGRAPHY; CLINICAL-OUTCOMES; DIAGNOSTIC-VALUE; REGURGITATION; STENOSIS;
D O I
10.1161/CIRCIMAGING.124.017126
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Disorders of the pulmonic valve (PV) receive considerably less attention than other forms of valvular heart disease. Due to the dramatically improved survival of children with congenital heart disease over the last 5 decades, there has been a steady increase in the prevalence of adults with congenital heart disease, which necessitates that clinicians become familiar with the anatomy and the evaluation of right ventricular outflow tract and PV anomalies. A multimodality imaging approach using echocardiography, cardiac computed tomography, and magnetic resonance imaging is essential for a comprehensive evaluation of the anatomy and function of the right ventricular outflow tract, PV, and supravalvular region. As clinical presentation is often insidious with nonspecific symptoms, yet morbidity and mortality associated with severe untreated PV disease are significant, a high index of suspicion coupled with appropriate use of imaging techniques is critical in facilitating timely diagnosis and treatment. In this review, we aim to present a comprehensive approach to the diagnosis of PV disease and associated right ventricular outflow tract or supravalvular pulmonary stenosis, including optimal use of multimodality imaging to facilitate timely diagnosis, optimize therapeutic strategies, enhance postprocedural surveillance, and ultimately improve patient outcomes.
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收藏
页数:15
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