PURPOSE: To evaluate spin-echo (SE) and cine gradient-echo (GRE) magnetic resonance (MR) imaging with velocity mapping for detecting late complications of the Mustard operation. MATERIALS AND METHODS: Twenty-one patients were studied with MR imaging 1-22 years after undergoing the Mustard operation. Twenty were also studied with transthoracic echocardiography, 18 with angiocardiography, and five with transesophageal echocardiography. RESULTS: MR imaging showed no venoatrial obstruction in nine patients. This result was confirmed with angiocardiography in seven cases and postmortem examination in one case. In one case, MR imaging demonstrated a leak at the baffle suture line. Of 12 cases with venoatrial obstruction at MR imaging, nine were confirmed with angiocardiography or surgery. There were two false-positive MR studies and one case in which no conclusion was reached. CONCLUSION: With addition of cine GRE sequences and velocity mapping to SE sequences, MR imaging is a useful noninvasive method of investigating late complications of the Mustard operation.
PURPOSE: To evaluate spin-echo (SE) and cine gradient-echo (GRE) magnetic resonance (MR) imaging with velocity mapping for detecting late complications of the Mustard operation. MATERIALS AND METHODS: Twenty-one patients were studied with MR imaging 1-22 years after undergoing the Mustard operation. Twenty were also studied with transthoracic echocardiography, 18 with angiocardiography, and five with transesophageal echocardiography. RESULTS: MR imaging showed no venoatrial obstruction in nine patients. This result was confirmed with angiocardiography in seven cases and postmortem examination in one case. In one case, MR imaging demonstrated a leak at the baffle suture line. Of 12 cases with venoatrial obstruction at MR imaging, nine were confirmed with angiocardiography or surgery. There were two false-positive MR studies and one case in which no conclusion was reached. CONCLUSION: With addition of cine GRE sequences and velocity mapping to SE sequences, MR imaging is a useful noninvasive method of investigating late complications of the Mustard operation.
Authors: A A W Roest; H J Lamb; E E van der Wall; H W Vliegen; J G van den Aardweg; P Kunz; A de Roos; W A Helbing Journal: Heart Date: 2004-06 Impact factor: 5.994
Authors: L Lovato; A Giardini; C La Palombara; V Russo; V Gostoli; G Gargiulo; F M Picchio; R Fattori Journal: Radiol Med Date: 2007-07-23 Impact factor: 6.313