Right Ventricular Outflow Tract Imaging With CT and MRI: Part 2, Function

被引:17
作者
Saremi, Farhood [1 ]
Ho, Siew Yen [2 ]
Cabrera, Jose Angel [3 ]
Sanchez-Quintana, Damian [4 ]
机构
[1] Univ So Calif, Univ Hosp, Dept Radiol, Los Angeles, CA 90033 USA
[2] Royal Brompton Hosp, Cardiac Morphol Unit, London SW3 6LY, England
[3] Univ Europea Madrid, Hosp Univ Quiron Madrid, Dept Cardiol, Madrid, Spain
[4] Univ Extremadura, Dept Anat Humana, Fac Med Badajoz, Badajoz, Spain
关键词
cardiac CT; cardiac MRI; conotruncal anomaly; right ventricular outflow tract; tetralogy of Fallot; CONGENITALLY CORRECTED TRANSPOSITION; LATE GADOLINIUM ENHANCEMENT; SYSTEMIC RIGHT VENTRICLE; MAGNETIC-RESONANCE; REGIONAL DIFFERENCES; SYSTOLIC FUNCTION; OBSTRUCTION; TETRALOGY; TACHYCARDIA; ABLATION;
D O I
10.2214/AJR.12.9334
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. MRI and CT have become the ideal methods for assessing the complex function of the conotruncal region, including the right ventricular outflow tract (RVOT). In this review, we focus on the role of CT and MRI to evaluate RVOT function in relation to developmental malformations. CONCLUSION. We discuss the role of imaging pertinent to electrophysiologic assessment for cardiac arrhythmias. The RVOT is an important ablation target for radiofrequency ablation of ventricular tachycardia. Architectural changes of the myocardial strands in the RVOT, scar, and fibrofatty tissue may play a role in the development of RVOT ventricular arrhythmias. With CT and MRI, some of these changes can be revealed.
引用
收藏
页码:W51 / W61
页数:11
相关论文
共 39 条
[1]   The Three-Dimensional Arrangement of the Myocytes in the Ventricular Walls [J].
Anderson, Robert H. ;
Smerup, Morten ;
Sanchez-Quintana, Damian ;
Loukas, Marios ;
Lunkenheimer, Paul P. .
CLINICAL ANATOMY, 2009, 22 (01) :64-76
[2]   Late gadolinium enhancement cardiovascular magnetic resonance of the systemic right ventricle in adults with previous atrial redirection surgery for transposition of the great arteries [J].
Babu-Narayan, SV ;
Goktekin, O ;
Moon, JC ;
Broberg, CS ;
Pantely, GA ;
Pennell, DJ ;
Gatzoulis, MA ;
Kilner, PJ .
CIRCULATION, 2005, 111 (16) :2091-2098
[3]   Functional Analysis of the Components of the Right Ventricle in the Setting of Tetralogy of Fallot [J].
Bodhey, Narendra K. ;
Beerbaum, Philipp ;
Sarikouch, Samir ;
Kropf, Siegfried ;
Lange, Peter ;
Berger, Felix ;
Anderson, Robert H. ;
Kuehne, Titus .
CIRCULATION-CARDIOVASCULAR IMAGING, 2008, 1 (02) :141-147
[4]   Developmental Basis for Electrophysiological Heterogeneity in the Ventricular and Outflow Tract Myocardium As a Substrate for Life-Threatening Ventricular Arrhythmias [J].
Boukens, Bastiaan J. D. ;
Christoffels, Vincent M. ;
Coronel, Ruben ;
Moorman, Antoon F. M. .
CIRCULATION RESEARCH, 2009, 104 (01) :19-31
[5]   Arrhythmogenic right ventricular cardiomyopathy and fatty replacement of the right ventricular myocardium - Are they different diseases? [J].
Burke, AP ;
Farb, A ;
Tashko, G ;
Virmani, R .
CIRCULATION, 1998, 97 (16) :1571-1580
[6]   Differential right ventricular regional function and the effect of pulmonary hypertension: three-dimensional echo study [J].
Calcutteea, Avin ;
Chung, Robin ;
Lindqvist, Per ;
Hodson, Margaret ;
Henein, Michael Y. .
HEART, 2011, 97 (12) :1004-1011
[7]  
d'Udekem Y, 2000, CIRCULATION, V102, P116
[8]   The right ventricle in congenital heart disease [J].
Davlouros, PA ;
Niwa, K ;
Webb, G ;
Gatzoulis, MA .
HEART, 2006, 92 :I27-I38
[9]   Dynamic right ventricular outflow tract obstruction in cardiac surgery [J].
Denault, AY ;
Chaput, M ;
Couture, P ;
Hébert, Y ;
Haddad, F ;
Tardif, JC .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2006, 132 (01) :43-49
[10]   Giant ventricular myxoma obstructing right ventricular outflow tract [J].
Gajjar, Trushar P. ;
Shah, Gaurang B. ;
Desai, Neelam B. .
REVISTA BRASILEIRA DE CIRURGIA CARDIOVASCULAR, 2011, 26 (04) :663-666