ROLE OF PULMONARY ANGIOGRAPHY IN CONGENITAL HEART DISEASES AMONG CHILDREN

Abstract

Objective: The aim of this study is to demonstrate MDCT (multi detector computerized scan) angiographic findings of various congenital vascular anomalies in pediatric patients. Material & Method: All the pulmonary angiography studies done in our department during the period of March 2012-February 2013 were evaluated to detect congenital heart diseases. Written informed consent was obtained. Routine pre procedure workup was done as per the protocol of the CT angiography study. Plain CT thorax, early arterial phase and venous phase were taken. Results: Out of 20 patients, no gender discrimination was seen. Patients with age group of twenty days to seventeen years were included in the study. Six patients suffered from cyanotic heart disease. Eleven patients had associated cardiomegaly. Six patients had involvement of pulmonary veins. The findings of CT angiography were compared with Echo. CT pulmonary angiography was superior to Echo in visualization of the morphology of the congenital anomaly and its associated findings. However angiography was not useful for detecting valvular diseases of the heart. The intraoperative findings were consistent with the pulmonary angiographic findings.

Keywords

• CT scan
• angiography
• congenital heart diseases (CHD)