Computed tomographic angiography of infants with congenital heart disease receiving extracorporeal membrane oxygenation.
Patients with respiratory and/or cardiac failure occasionally require the use of extracorporeal membrane oxygenation (ECMO), which presents an obstacle for standard imaging modalities. Computed tomographic angiography (CTA) can be used in patients with congenital heart disease, usually to define extra-cardiac anatomy in the chest. We describe the use of CTA to evaluate two infants with congenital heart disease while on ECMO. The first infant had totally anomalous pulmonary venous connection, and the second had a pulmonary sling that resulted in tracheal stenosis. The studies achieved high diagnostic quality with minimal radiation exposure. Subsequently, both infants had successful surgical repairs.
Friedman
Brad A
BA
Department of Pediatrics, Cardiology, Medical University of South Carolina, Charleston, SC 29425, USA. friedmab@musc.edu
Schoepf
U Joseph
UJ
Bastarrika
Gorka A
GA
Hlavacek
Anthony M
AM
D017023:Coronary Angiography / Q000295:instrumentation / Q000379:methods*; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D015199:Extracorporeal Membrane Oxygenation; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging* / Q000601:surgery / Q000628:therapy; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery; D011667:Pulmonary Veins / Q000002:abnormalities / Q000000981:diagnostic imaging* / Q000601:surgery; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed / Q000295:instrumentation / Q000379:methods*; D014135:Tracheal Stenosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D014683:Vena Cava, Superior / Q000002:abnormalities / Q000601:surgery