64-Slice MDCT imaging of endocardial cushion defect associated with other cardiac and extracardiac abnormalities.
Electrocardiographic-gated 64-slice multidetector computed tomography (MDCT) was performed on a 30-year-old man who presented with a complete endocardial cushion defect (ECD) and severe pulmonary hypertension diagnosed when he was 3 years old. Multiplanar reconstruction image showed the common atrium without an atrial septum, a large ventricular septum defect, and a small right ventricle due to a complete atrioventricular canal defect. Three-dimensional CT volume-rending imaging showed a patent ductus arteriosus, dilation of the ascending aorta, and an anomalous-origin right coronary artery. This patient also had heterotaxy syndrome with polysplenia and azygos continuation. MDCT proved to be a good noninvasive imaging method for the evaluation of ECD associated with cardiac as well as extracardiac abnormalities.
Oyama
Noriko
N
Department of Radiology, Hokkaido University Hospital, Kita 15, Nishi 7, Kita-ku, Sapporo 060-8638, Japan. norikooyama@med.hokudai.ac.jp
Goto
Daisuke
D
Sasaki
Tsukasa
T
Tsutsui
Hiroyuki
H
Tamaki
Nagara
N
Terae
Satoshi
S
Shirato
Hiroki
H
D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging*; D000328:Adult; D004694:Endocardial Cushion Defects / Q000000981:diagnostic imaging*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D011237:Predictive Value of Tests; D014057:Tomography, X-Ray Computed