Journal of Cardiovascular Computed Tomography
Volume 2, Issue 1 , Pages 12-22, January 2008

Management of adults with congenital heart disease with cardiovascular computed tomography

  • Stephen C. Cook, MD

      Affiliations

    • The Ross Heart Hospital, The Ohio State University, Columbus, OH, USA
    • The Adolescent and Young Adult Congenital Heart Disease Program, The Heart Center, Nationwide Children’s Hospital, 700 Children’s Drive, 6th Floor EDU, Columbus, OH 43205, USA
    • Corresponding Author InformationCorresponding author.
    • ,
  • Peter C. Dyke 2nd, MD

      Affiliations

    • The Adolescent and Young Adult Congenital Heart Disease Program, The Heart Center, Nationwide Children’s Hospital, 700 Children’s Drive, 6th Floor EDU, Columbus, OH 43205, USA
    • ,
  • Subha V. Raman, MD

      Affiliations

    • The Ross Heart Hospital, The Ohio State University, Columbus, OH, USA

Received 14 May 2007; accepted 7 November 2007. published online 19 November 2007.

Objective

The purpose of this study was to evaluate the role of cardiac computed tomography (CT) in the care of adults with congenital heart disease (CHD).

Methods

A retrospective analysis of adult patients with CHD who underwent cardiac CT from April 2005 to May 2006 was performed. Data collected included diagnosis, presence or absence of cardiac symptoms, presence or absence of a pacemaker or defibrillator, anatomic and functional abnormalities, and the need for subsequent surgical or transcatheter intervention based on cardiac CT findings.

Results

Eighty-seven adult patients with CHD underwent cardiac CT during this period. Fifty-four subjects had cardiac CT findings that warranted possible transcatheter or surgical interventions or both. Of these, 30 patients went on to transcatheter or surgical intervention based on cardiac CT results. Twenty (37%) subjects of the study population had either pacemaker or implantable cardioverter defibrillator.

Conclusions

Cardiac CT provides important volumetric imaging information to guide management in adult patients with CHD.

Keywords: Adult congenital heart disease, Computed tomography, Congenital defects, Defibrillator, Heart defects, Pacemaker

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 Conflict of interest: The authors report no conflicts of interest.

PII: S1934-5925(07)00336-X

doi:10.1016/j.jcct.2007.11.001

Journal of Cardiovascular Computed Tomography
Volume 2, Issue 1 , Pages 12-22, January 2008

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