Application of prospective ECG-gated high-pitch 128-slice dual-source CT angiography in the diagnosis of congenital extracardiac vascular anomalies in infants and children

PLoS One. 2014 Dec 29;9(12):e115793. doi: 10.1371/journal.pone.0115793. eCollection 2014.

Application of prospective ECG-gated high-pitch 128-slice dual-source CT angiography in the diagnosis of congenital extracardiac vascular anomalies in infants and children.

Nie P1Yang G2Wang X3Duan Y3Xu W1Li H3Cao T3Liu X1Ji X3Cheng Z3Wang A4.

Comment: Exact comprehension of intra- and extracardiac deformities are crucial for adequate (surgical) treatment in patients with congenital heart disease. The 128-slice dual source CT angiography is rapidly becoming available for our daily practice. The technique is very promising, as it is fast, accurate and with very low radiation dose. For the current study 75 children underwent both dual source cardiac CT angiography, and TTE before cardio-thoracic surgery. Dual source cardiac CT angiography showed similar accuracy, but higher sensitivity in revealing cardiac deformities, compared to TTE. These findings are relevant to the adult congenital heart disease population. Especially when cardio-thoracic (re-)operation is planned, dual source CT angiography could provide us with detailed and accurate information on current cardiac, extra-cardiac and vascular anatomy relevant to the operating surgeon, therewith increasing surgical success rates.