Diagnosis of congenital aortic arch anomalies in chinese children by multi-detector computed tomography angiography
| Autor: | Xiao-jing Ma, Xin Chen, Zhi-yuan Peng, Yan-juan Qu, Jin-guo Lu |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
Aortic arch China medicine.medical_specialty Double aortic arch Biomedical Engineering Aorta Thoracic Aortography Sensitivity and Specificity Biochemistry Biomaterials Ductus arteriosus medicine.artery Internal medicine Multidetector Computed Tomography Pulmonary artery atresia Genetics medicine Humans Abnormalities Multiple Common carotid artery Child Earth-Surface Processes Aorta medicine.diagnostic_test Aortic Arch Syndromes business.industry Infant Newborn Infant Reproducibility of Results medicine.disease medicine.anatomical_structure Ventricle Child Preschool Angiography cardiovascular system Cardiology Female Radiology Tomography X-Ray Computed business |
| Zdroj: | Journal of Huazhong University of Science and Technology [Medical Sciences]. 33:447-451 |
| ISSN: | 1993-1352 1672-0733 |
| DOI: | 10.1007/s11596-013-1140-9 |
| Popis: | The purpose of this study was to evaluate the value of multi-detector computed tomography (MDCT) angiography for the diagnosis of congenital aortic arch anomalies and present the radiological images of congenital aortic arch anomalies in Chinese children. MDCT angiography and transthoracic echocardiography (TTE) were applied for the diagnosis of congenital aortic arch anomalies in 362 Chinese children between May 2006 and December 2011 (age ranges from 5 days to 12 years; mean age, 3.3 years). Surgery and/or catheter angiography (CA) were conducted in all patients to confirm the final diagnosis. In the 362 Chinese children with congenital heart anomalies, congenital aortic arch anomalies were definitely diagnosed in 198 children and 164 children ruled out by operation and/or (CA). Among the 198 children with anomalies, coarctation of aorta (CoA), interruption of aortic arch (IAA), right aortic arch, aberrant right subclavian artery and double aortic arch were diagnosed in 134, 32, 20, 10 and 2 children respectively, and there were 6 cases with uncommon congenital aortic arch anomalies: 2 had double aortic arch including 1 with five branches of the aortic arch, 2 had isolation of the right subclavian artery with two patent ductus arteriosus (PDA), 1 had an isolation of the common carotid artery with a PDA, and 1 had double PDA with a single ventricle and pulmonary artery atresia. Among the 32 children with IAA, 28 were of type A, and 4 were of type B. The diagnostic sensitivity, specificity and accuracy of MDCT angiography for congenital aortic arch anomalies were 100% (198/198), 98% (161/164) and 99% (359/362), respectively. The diagnostic sensitivity, specificity and accuracy of TTE were 92% (182/198), 81% (133/164) and 87% (315/362), respectively. In conclusion, MDCT angiography is a reliable, noninvasive imaging technique for the diagnosis of congenital aortic arch anomalies in children. Sometimes, even more information can be obtained from this technique than from conventional angiography. |
| Databáze: | OpenAIRE |
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