1. Common atrium and the associated malformations
- Author
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Kai-yue Diao, Meng-xi Yang, Yi Zhang, Zhi-gang Yang, Ke Shi, Ying-kun Guo, and Rui Li
- Subjects
Male ,Adolescent ,Heart Ventricles ,Common atrium ,030204 cardiovascular system & hematology ,Diagnostic Accuracy Study ,Intracardiac injection ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Complex congenital heart disease ,Child ,Collateral vessels ,Retrospective Studies ,business.industry ,Low dose ,congenital ,Infant ,General Medicine ,medicine.anatomical_structure ,heart atria ,Great vessels ,Echocardiography ,sensitivity and specificity ,Ventricle ,Child, Preschool ,Dual source computed tomography ,heart defects ,Female ,Tomography, X-Ray Computed ,Nuclear medicine ,business ,computed tomography angiography ,Research Article - Abstract
Common atrium (CA) is a rare complex congenital heart disease. The studies of CA are mostly case reports, while few have been done regarding its morphological characteristics. We aimed to determine CA characteristics and diagnostic accuracy in assessing associated malformations in these patients with low-dose dual-source computed tomography (DSCT). Twenty-one pediatric and adolescent CA patients underwent low-dose DSCT. Different ventricular types and associated malformations were assessed. The diagnostic accuracy of DSCT and transthoracic echocardiography (TTE) in evaluating associated malformations were assessed. The effective doses of DSCT were calculated. Patients (n = 21) were divided into CA with biventricular physiology (n = 7) and CA with single ventricle (SV) (n = 14). There were 3 types of SV morphology: single left ventricle (n = 5), single right ventricle (n = 6), and undifferentiated ventricle (n = 3). In all, 22 associated malformations were seen in CA and 56 in CA with SV. DSCT was superior to TTE for detecting intracardiac anomalies (sensitivity: DSCT, 92.31% vs TTE, 76.92%), great vessels anomalies (sensitivity: DSCT, 100.00% vs TTE, 77.50%), and of collateral vessels (sensitivity: DSCT, 100% vs TTE, 20.00%). The estimated mean effective dose was 0.95 ± 0.44 mSv (
- Published
- 2018
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