title: Complete Preoperative Evaluation of Pulmonary Atresia with Ventricular Septal Defect with Multi-Detector Computed Tomography.
abstract: OBJECTIVE
  To compare multi-detector computed tomography (MDCT) with cardiac catheterization and transthoracic echocardiography (TTE) in comprehensive evaluation of the global cardiovascular anatomy in patients with pulmonary atresia with ventricular septal defect (PA-VSD).
  
  
  METHODS
  The clinical and imaging data of 116 patients with PA-VSD confirmed by surgery were reviewed. Using findings at surgery as the reference standard, data from MDCT, TTE and catheterization were reviewed for assessment of native pulmonary vasculature and intracardiac defects.
  
  
  RESULTS
  MDCT was more accurate than catheterization and TTE in identification of native pulmonary arteries. MDCT is also the most accurate test for delineation of the major aortopulmonary collateral arteries. The inter-modality agreement for evaluation of overriding aorta and VSD were both excellent. In the subgroup with surgical correlation, excellent agreement was found between TTE and surgery, and substantial agreement was also found at MDCT.
  
  
  CONCLUSIONS
  MDCT can correctly delineate the native pulmonary vasculatures and intracardiac defects and may be a reliable method for noninvasive assessment of global cardiovascular abnormalities in patients with PA-VSD.
authors.affiliation: Department of Radiology, First Hospital of Tsinghua University, Beijing, China.
authors.forename: Jingzhe
authors.initials: J
authors.lastname: Liu
authors.affiliation: The Heart Center, First Hospital of Tsinghua University, Beijing, China.
authors.forename: Hongyin
authors.initials: H
authors.lastname: Li
authors.affiliation: Department of Radiology, First Hospital of Tsinghua University, Beijing, China.
authors.forename: Zhibo
authors.initials: Z
authors.lastname: Liu
authors.affiliation: The Heart Center, First Hospital of Tsinghua University, Beijing, China.
authors.forename: Qingyu
authors.initials: Q
authors.lastname: Wu
authors.affiliation: Department of Radiology, Peking University First Hospital, Beijing, China.
authors.forename: Yufeng
authors.initials: Y
authors.lastname: Xu
mesh_terms: D000293:Adolescent; D006328:Cardiac Catheterization; D002648:Child; D002675:Child, Preschool; D003097:Collateral Circulation; D004452:Echocardiography; D005260:Female; D006343:Heart Septal Defects / Q000175:diagnosis* / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006352:Heart Ventricles / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D061330:Multidetector Computed Tomography; D011300:Preoperative Care; D011651:Pulmonary Artery / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D018633:Pulmonary Atresia / Q000175:diagnosis* / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D054088:Ventricular Septum / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery