title: [Spiral CT and 3-dimensional reconstruction in evaluation of systemic venous obstruction after atrial switch operation for complete transposition of great vessels].
abstract: We report findings in spiral-CT from 11 adolescent or adult patients after atrial switch operation. The results demonstrate that computed tomography, particularly with the use of three-dimensional surface reconstruction, is very useful as a highly sensitive procedure for the detailed depiction of residua and sequelae after inflow correction for complete transposition. Especially systemic venous obstruction (SVO) is a well know complication following Mustard procedure for transposition of the great arteries. Demonstration of such obstruction is important, since the recognition and quantification of caval obstruction by clinical techniques is unreliable and indeed often impossible. Imaging procedures such as spiral computed tomography are important for this purpose. Advantages of spiral computed tomography, particularly with three-dimensional reconstruction, are discussed. The images were compared with findings in echocardiography and/or angiography affecting the site of operation.
authors.affiliation: Arbeitsgruppe für angeborene Herzfehler im Erwachsenenalter der Abteilung für Kardiologie, Medizinische Hochschule Hannover.
authors.forename: H
authors.initials: H
authors.lastname: Kaemmerer
authors.forename: J
authors.initials: J
authors.lastname: Bahlmann
authors.forename: M
authors.initials: M
authors.lastname: Prokop
authors.forename: R
authors.initials: R
authors.lastname: Kaulitz
authors.forename: E
authors.initials: E
authors.lastname: Schirg
authors.forename: L
authors.initials: L
authors.lastname: Luhmer
authors.forename: A
authors.initials: A
authors.lastname: Mügge
authors.forename: K
authors.initials: K
authors.lastname: Rapp
authors.forename: P R
authors.initials: PR
authors.lastname: Lichtlen
authors.forename: H C
authors.initials: HC
authors.lastname: Kallfelz
mesh_terms: D000293:Adolescent; D000328:Adult; D001807:Blood Vessel Prosthesis; D006328:Cardiac Catheterization; D005260:Female; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging*; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000295:instrumentation*; D008297:Male; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed / Q000295:instrumentation*; D014188:Transposition of Great Vessels / Q000000981:diagnostic imaging / Q000601:surgery*
chemical_list: D011093:Polyethylene Terephthalates