cardiac ct in adult congenital heart disease · · 2013-12-05cardiac ct in adult congenital heart...
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Cardiac CT in Adult Congenital Heart Disease
DENNIS FOLEY
MEDICAL COLLEGE WISCONSIN
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Adult CHD
AORTIC ANOMALIES COARCTATON , PDA
TRANSPOSITION MUSTARD
BAFFLE LEAK, STENOSIS RT VENTRICLE FAILURE
JANTENE ARTERIAL SWITCH CORONARY , PULMONARY STENOSES
TETRALOGY FALLOT POST CORRECTION PV INSUFFICIENCY
FONTAN STENOSES, PULMONARY EMBOLI CONGESTIVE HEPATOPATHY, CARDIAC CIRRHOSIS
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Aortic Coarctation
ISSUES DELAYED
DIAGNOSIS
POST TREATMENT SURVEILLANCE
POST TREATMENT COMPLICATIONS
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PSEUDO COARCTATION ASCENDING AORTIC GRAFT
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POST AORTOPLASTY
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COARCTATION ENDOSTENT
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LEFT SUBCLAVIAN FLAP AORTOPLASTY
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Transposition SURGICAL CORRECTION
AND COMPLICATIONS
MUSTARD/SENNING ATRIAL BAFFLE BAFFLE LEAK/
STENOSIS
RVF
JANTENE ARTERIAL SWITCH CORONARY,
PULMONARY STENOSES
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RV
LV
SYSTEMIC ATRIUM
PULMONARY ATRIUM
TV
RV
SYSTEMIC ATRIUM
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TGV , MUSTARD, PACEMAKER LEADAO
RVOT
LV
TV
SA
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TRANSPOSITION MUSTARD PROCEDURE
LAD
RCA
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UPPER EXT VEIN INJECTION
BAFFLE STENOSIS , LEAK
AZYGOS VEIN
IVC
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SECOND INJECTION DELAYED ACQUISITION
RV
AO
PA
LVLV
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JANTENE ARTERIAL SWITCH
PA
AS AORV
RA
LA
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FRONTAL
MPA
RPA
LPA
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TRANSPOSITION ARTERIAL SWITCH
MPA
MPA
LCARCA
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JANTENE ARTERIAL SWITCH
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Tetralogy of Fallot
INITIAL PALLIATIVE REPAIR BLALOCK TAUSSIG
WATERSTON, POTTS SHUNTS
DEFINITIVE REPAIR INFUNDIBULECTOMY
VSD CLOSURE
COMPLICATIONS PULMONARY
REGURGITATION
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PA
TETRALOGY FALLOT, INFUNDIBULECTOMY VSD REPAIR , PULMONARY VALVE INSUFFICIENCY
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CONUS BRANCH RCA
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Fontan Procedure
ATRIO PULMONARY CONNECTION
CAVO PULMONARY INTRACARDIAC ( LATERAL TUNNEL )
EXTRACARDIAC
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FONTAN PROCEDURE EXTRA CARDIAC CAVO PULMONARY
SIMULTANEOUS UE/IVC INJECTION
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NUTMEG LIVER
CARDIAC CIRRHOSIS
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CARDIAC CIRRHOSIS
REGENERATIVE NODULE
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Summary
300,000 ACHD PATIENTS IN UNITED STATES
MEDICAL CARE AND SUPERVISION SPREAD BETWEEN SPECIALISED CENTERS AND PHYSICIAN PRACTICES
ROLE OF CT IMAGING THORACIC AORTA CORONARY ANOMALIES AND STENOSES STRUCTURAL ISSUES WITH PRIOR REPAIRS EXTRA CARDIAC ISSUES eg FONTAN
HEPATOPATYHY