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==MRI==  
==MRI==  
Magnetic resonance imaging ([[MRI]]) can be used as a diagnostic modality in congenital heart diseases.  
Magnetic resonance imaging ([[MRI]]) can be used as a diagnostic modality in [[congenital heart disease]]s.  


Advantages of using MRI are:
Advantages:


* It can be used in cases where echocardiographic results are inconclusive.
* It can be used in cases where [[echocardiographic]] results are inconclusive.
* Helps in measuring heart volumes, blood flow and ventricular wall thickness.  
* Helps in measuring heart volumes, blood flow and ventricular wall thickness.  
* The [[magnetic resonance angiography]] helps in better visualization of heart vasculature.
* The [[magnetic resonance angiography]] helps in better visualization of heart vasculature.

Revision as of 19:59, 25 January 2013

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor-In-Chief:; Keri Shafer, M.D. [2] Priyamvada Singh, MBBS [3]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [4]

Overview

Magnetic resonance imaging can be helpful as a diagnostic tool in conditions where the echocardiographic findings are inconclusive.

MRI

Magnetic resonance imaging (MRI) can be used as a diagnostic modality in congenital heart diseases.

Advantages:

  • It can be used in cases where echocardiographic results are inconclusive.
  • Helps in measuring heart volumes, blood flow and ventricular wall thickness.
  • The magnetic resonance angiography helps in better visualization of heart vasculature.
  • Phase velocity mapping helps in measuring the ratio of pulmonary to systemic blood flow (Qp:Qs).

Disadvantage:

  • For an MRI procedure to be successful, the patient will need to hold their breath, which is sometimes difficult to achieve with small kids. Due to this, the procedure is done under general anesthesia in children.

ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease (DO NOT EDIT)[1][2]

Imaging (DO NOT EDIT)[1][2]

Class I
"1. All patients with prior Fontan type of repair should have periodic echocardiographic and/or magnetic resonance examinations performed by staff with expertise in ACHD. (Level of Evidence: C)"

References

  1. 1.0 1.1 Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA; et al. (2008). "ACC/AHA 2008 Guidelines for the Management of Adults with Congenital Heart Disease: Executive Summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines for the management of adults with congenital heart disease)". Circulation. 118 (23): 2395–451. doi:10.1161/CIRCULATIONAHA.108.190811. PMID 18997168.
  2. 2.0 2.1 Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA; et al. (2008). "ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". J Am Coll Cardiol. 52 (23): e1–121. doi:10.1016/j.jacc.2008.10.001. PMID 19038677.

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