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THE USE OF COMPUTER TOMOGRAPHY AND MAGNETIC RESONANCE IMAGING IN DIAGNOSIS OF AORTIC MALFORMATIONS IN CHILDREN OF THE CRIMEAN REGION

https://doi.org/10.21508/1027-4065-2018-63-4-108-112

Abstract

Objective. To assess the value of X-ray computer tomography with intravenous contrast agents and magnetic resonance imaging for diagnosis of aortic malformations in children of the Crimean region at the stage of preoperative preparation, choice of surgical procedure and postoperative follow-up. In the Republican Children’s Clinical Hospital (Simferopol) under our supervision were 44 children with aortic pathology, who underwent cardiac surgery. All children underwent dopplerography of head and neck vessels, xray computer tomography with intravenous contrast and/or magnetic resonance imaging.

Results. Modern approaches to the visualization diagnosis of critical congenital heart defects in children are presented. The role of X-ray computer tomography with intravenous contrast agents and magnetic resonance imaging in the diagnosis of congenital aortic pathologies has been shown and a qualitative assessment of CT angiographic picture of aortic pathology was performed. This applies to the detailing of the defect anatomy, reliable morphometric indicators, diagnosis of pathology of aorta, pulmonary artery, right ventricle to assess ventricular-arterial connections and atrioventricular connections, as well as the assessment of the state of the vessels of the pulmonary circulation, bronchial tree and lung parenchyma. Our experience of using x-ray computer tomography and/ or magnetic resonance imaging in examining children with aortic pathology proves that these methods can provide more valuable diagnostic information than traditional methods, which determines their significance. 

About the Author

G. E. Sukhareva
Medical Academy named after S.I. Georgievsky of the Crimean Federal University named after V.I. Vernadsky
Russian Federation
Simferopol


References

1. Yurpol’skaja L.A., Makarenko V.N. Computed and magnetic resonance imaging to evaluate the left ventricular function in cardiology and cardiosurgery. Grudnaja i serdechno-sosudistaja hirurgija 2016; 58(2): 70–79. (in Russ)

2. Kelender V. Computer tomography. Basics, techniques, quality of imaging investigations and their clinical use. Moscow: Tehnosfera 2006; 62. (in Russ)

3. Makarenko V.N., Jurpol’skaja L.A. Noninvasive x-ray investigations for diagnosis in a modern cardiosurgical clinic. Bjulleten’ Nauchnogo centra serdechno-sosudistoj hirurgii im. A.N. Bakuleva RAMN “Cardiovascular diseases” 2016; 3: 124–134. (in Russ)

4. Belenkov Yu.N., Ternovoj S.K., Sinitsyn V.E. Magnetic resonance imaging of the heart and blood vessels. Moscow: Vidar 1997; 142. (in Russ)

5. Ivanitskij А.V., Litvinov M.M., Knorin Eh.А. The first experience of using magnetic resonance imaging in the diagnosis of congenital heart disease. Computed tomography and other modern diagnostic methods. Moscow 1989; 156–161. (in Russ)

6. Karmazanovskij G.G. Computed tomography as a basis for the power of modern radiology. Meditsinskaja vizualizacija 2005; 6: 139–143. (in Russ)

7. Yurpol’skaja L.A., Makarenko V.N., Bokeriya L.А. Computed and magnetic resonance imaging in the diagnostic algorithm of congenital heart defects: What? When? To whom? – “Pro and contra”. Grudnaja i serdechno-sosudistaja hirurgija 2014; 3: 4–13. (in Russ)

8. Kokov A.N., Semenov S.E., Masenko V.L., Khromov А.А. Multispiral computed tomography in the diagnosis of congenital heart defects in children of the first years of life. Kompleksnye problemy serdechnososudistyh zabolevanij 2013; 4: 42–49. (in Russ)

9. Sukhareva G.Eh., Emets I.N., Kaladze N.N., Rudenko N.N. The role of modern imaging methods in the diagnosis of complex congenital heart defects in children. Zdorov’e rebenka 2010; 1(22): 43–50. (in Russ)

10. Yurpol’skaja L.A., Makarenko V.N., Bokeriya L.А. Radiation diagnosis of congenital heart and vascular malformations. Stages of evolution from classical radiology to modern methods of computed tomography. Detskie bolezni serdtsa i sosudov 2007; 3: 17–28. (in Russ)

11. Bayazitova Zh.K., Tubina А.V., Аkkairova M.K., Babij D.V. Clinical and instrumental diagnosis of congenital heart disease in mature infants in the early neonatal period (analysis of the history of development). Meditsina i jekologija 2016; 3: 124–129. (in Russ)

12. Rosin Yu.A. Dopplerography of cerebral vessels in children.SPb: Izd. dom SPbMAPO 2006; 120. (in Russ)

13. SHakhov B.E., Sharabrin E.G., Rybinskij А.D. The modern principles of angiomorphology evaluation of coarctation of the aorta. Hirurgija serdtsa i sosudov 2004; 2: 41–44. (in Russ)

14. Kawano T., Ishii M., Takagi J., Maeno Y., Eto G., Sugahara Y. et al. Three-dimensional helical computed tomographic angiography in neonates and infants with complex congenital heart disease. Am Heart J 2000; 139(4): 654–660.

15. Bean M.J., Pannu Н., Fishman E.K. Three-dimensional computed tomographic imaging of complex congenital cardiovascular abnormalities. J Comput Assist Tomogr 2005; 29: 721–724.

16. Cademartiri F. Cardiac CT: the missing of the puzzle. Eur Radiol 2009; 19(11): 2584–2595. DOI: 10.1007/s00330-009-1564-6


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For citations:


Sukhareva G.E. THE USE OF COMPUTER TOMOGRAPHY AND MAGNETIC RESONANCE IMAGING IN DIAGNOSIS OF AORTIC MALFORMATIONS IN CHILDREN OF THE CRIMEAN REGION. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2018;63(4):108-112. (In Russ.) https://doi.org/10.21508/1027-4065-2018-63-4-108-112

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ISSN 1027-4065 (Print)
ISSN 2500-2228 (Online)