title: Adult congenital heart disease: a practical approach.
abstract: Adults with congenital heart disease (CHD) represent an increasing population both because anomalies that might have remained undiagnosed in the past are now being diagnosed later in life on imaging and because significant therapeutic advances have resulted in survival to adulthood of patients with complex CHD. In this article, we discuss simple and common complex congenital anomalies that are encountered in general practice including their incidence, associations, and expected postoperative appearances. We will describe an approach to segmental anatomy and situs evaluation and details of some of the common vascular anomalies, simple shunts, and complex CHDs to refine the imaging strategies and diagnostic acumen of radiologists interested in CHD who may not be practicing in specialized adult CHD centers. Key imaging appearances on chest radiography, protocoling tips for answering clinically relevant questions on computed tomography and magnetic resonance imaging, and the specific imaging appearances and common complications related to long-standing CHD in the adult and complications of treatment are reviewed for each entity.
authors.affiliation: *Cardiothoracic Radiology Fellow, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY †Current affiliation: Assistant Professor, Department of Radiology, New York University, Langone Medical Center, New York, NY ‡Associate Director of Research, Research Assistant Professor, Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY §Professor of Clinical Radiology and Medicine, Division Head, Cardiothoracic Imaging-Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY.
authors.forename: Larry
authors.initials: L
authors.lastname: Latson
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Levsky
authors.forename: Linda B
authors.initials: LB
authors.lastname: Haramati
mesh_terms: D000328:Adult; D001017:Aortic Coarctation / Q000175:diagnosis / Q000628:therapy; D006321:Heart / Q000503:physiopathology; D006330:Heart Defects, Congenital / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D011859:Radiography; D012039:Regional Blood Flow; D012587:Scimitar Syndrome / Q000000981:diagnostic imaging; D013771:Tetralogy of Fallot / Q000175:diagnosis / Q000628:therapy; D014188:Transposition of Great Vessels / Q000175:diagnosis / Q000628:therapy