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Congenital Heart Disease Imaging in Adults

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1. Diagnosis and Management of Noncardiac Complications in Adults With Congenital Heart Disease: A Scientific Statement From the American Heart Association

Diagnosis and Management of Noncardiac Complications in Adults With Congenital Heart Disease: A Scientific Statement From the American Heart Association November 14, 2017 Circulation. 2017;136:e348–e392. DOI: 10.1161/CIR.0000000000000535 e348 ABSTRACT: Life expectancy and quality of life for those born with congenital heart disease (CHD) have greatly improved over the past 3 decades. While representing a great advance for these patients, who have been able to move from childhood to successful (...) factors can be targeted for preventive intervention. A s survival to adulthood in individuals with congenital heart disease (CHD) has improved, adults with CHD are increasingly at risk for noncardiac com- plications. 1,2 The median age of adults with CHD has increased to 40 years, and the number of adults with CHD >65 years of age is steadily growing. 3–5 As pa- tients age, common adult comorbidities such as diabetes mellitus (DM), coronary artery disease, and hypertension may have an impact on long

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2017 American Heart Association

2. Arrhythmias in Congenital Heart Disease: A Position Paper of EHRA, AEPC, and ESC Working Group on Grown-up Congenital Heart Disease

modification . . . . . . . 6 Ventriculararrhythmias 6 Stablemonomorphicventriculartachycardia 6 Polymorphicventriculartachycardia 6 Work-up of patients with congenital heart disease andarrhythmias 6 Acute assessment of the congenital heart disease patientpresentingwitharrhythmia 7 Collaboration between adults with congenital heart diseaseandarrhythmiaspecialists 7 General assessment of the congenital heart disease patientwitharrhythmias 7 Arrhythmiamanagementviaimplanteddevices 8 Imaging requirements (...) artefacts. Images need to be critically reviewed to assure that 3D segmentation is feasi- ble for a given target area. Online imaging should be considered with transoesophageal (TOE) or intracardiac echocardiogram (ICE) allow- ing delineation of individual anatomy and monitoring of the procedure. Specific arrhythmia types Supraventricular arrhythmias in patients with congenital heart disease Almost 50% of all adult CHD patients will be confronted with the occurrence of SVT during their lifetime. 21

2017 Heart Rhythm Society

3. Adults With Congenital Heart Disease

, the Agency for Healthcare Research and Quality, and other selected databases relevant to this guideline, was conducted from April 2014 to November 2014. Key search words included but were not limited to the following: adult congenital heart disease, anesthesia, aortic aneurysm, aortic stenosis, atrial septal defect, arterial switch operation, bradycardia, bicuspid aortic valve, cardiac catheterization, cardiac imaging, cardiovascular magnetic resonance, cardiac reoperation, cardiovascular surgery, chest (...) Adults With Congenital Heart Disease Accepted Manuscript 2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease Karen K. Stout, MD, FACC, Chair, Writing Committee, Curt J. Daniels, MD, Vice Chair, Writing Committee, Jamil A. Aboulhosn, MD, FACC, FSCAI, Writing Committee Member, Biykem Bozkurt, MD, PhD, FACC, FAHA, Writing Committee Member, Craig S. Broberg, MD, FACC, Writing Committee Member, Jack M. Colman, MD, FACC, Writing Committee Member, Stephen R. Crumb, DNP

2018 American College of Cardiology

4. Tricuspid Valve Imaging and Intervention in Pediatric and Adult Patients With Congenital Heart Disease. (PubMed)

Tricuspid Valve Imaging and Intervention in Pediatric and Adult Patients With Congenital Heart Disease. Tricuspid valve abnormalities in congenital heart disease comprise a wide spectrum, with the most common being Ebstein anomaly and tricuspid valve dysplasia. Tricuspid valve dysfunction may also be secondary to other types of congenital heart disease, including functional tricuspid regurgitation seen in right heart volume overload conditions, such as atrial septal defect and repaired (...) tetralogy of Fallot with severe pulmonary valve regurgitation. Congenitally corrected transposition and Mustard and Senning procedures maintain the right ventricle as the systemic ventricle, and the tricuspid valve is subject to unique hemodynamic stress not typically seen in normal circulation. Surgical treatment of tricuspid valve disease remains the mainstay of therapy; primary catheter-based interventions are uncommon. However, once a tricuspid valve has been replaced with a bioprosthesis

2019 JACC. Cardiovascular imaging

5. Consensus recommendations for echocardiography in adults with congenital heart defects from the International Society of Adult Congenital Heart Disease (ISACHD). (PubMed)

Consensus recommendations for echocardiography in adults with congenital heart defects from the International Society of Adult Congenital Heart Disease (ISACHD). The population of adults with congenital heart disease (ACHD) is increasing constantly due to medical, surgical and interventional successes and the input from advanced cardiovascular imaging. ACHD patients are at continuing risk of residua and sequelae related to their CHD contributing to significant morbidity and mortality (...) . The International Society for Adult Congenital Heart Disease (ISACHD; www.isachd.org) is the leading organization of professionals worldwide dedicated to the pursuit of excellence in the care of ACHD patients. Recognizing the critical role of imaging in the diagnosis and management of ACHD, ISACHD established a task force to provide guidance on echocardiographic studies and reporting. The rationale is that standardization of echocardiographic imaging and reporting carries the potential to improve the overall

2018 International journal of cardiology

6. Known or Suspected Congenital Heart Disease in the Adult

Known or Suspected Congenital Heart Disease in the Adult Variant 1: Known or suspected congenital heart disease in the adult. Radiologic Procedure Rating Comments RRL* X-ray chest 9 This is usually the first imaging procedure performed. ? US echocardiography transthoracic resting 9 This is usually one of the first procedures performed. O MRI heart function and morphology without and with IV contrast 9 This procedure is complementary to the transthoracic echocardiogram. It may be an alternative (...) with morphology, CTA chest, and MRA chest. It may be an alternative to CTA coronary arteries. ??? Tc-99m ventriculography 4 ??? Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 3 Know or Suspected Congenital Heart Disease KNOWN OR SUSPECTED CONGENITAL HEART DISEASE IN THE ADULT Expert Panel on Cardiac Imaging: Pamela K. Woodard, MD 1 ; Vincent B. Ho, MD, MBA 2* ; Scott R. Akers, MD 3 ; Garth Beache, MD 4

2016 American College of Radiology

7. Management of Pregnancy in Patients With Complex Congenital Heart Disease: A Scientific Statement for Healthcare Professionals From the American Heart Association

to high risk for both the mother and her fetus. Many such women, however, do not have access to adult congenital heart disease tertiary centers with experienced reproductive programs. Therefore, it is important that all practitioners who will be managing these women have current information not only on preconception counseling and diagnostic evaluation to determine maternal and fetal risk but also on how to manage them once they are pregnant and when to refer them to a regional center with expertise (...) for complications. Figure 3. Assessment and management of women with complex congenital heart disease. ACE indicates angiotensin-converting enzyme; ACHD, adult congenital heart disease; ARB, angiotensin receptor blocker; L&D, labor and delivery; MFM, maternal-fetal medicine; NYHA, New York Heart Association; OB, obstetrics; and POC, plan of care. Genetic counseling may be particularly valuable to women for whom there is a significant risk of recurrence in offspring. The risk for recurrence of CHD varies widely

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2017 American Heart Association

8. Noninvasive Imaging in Adult Congenital Heart Disease. (PubMed)

Noninvasive Imaging in Adult Congenital Heart Disease. Multimodality cardiovascular imaging plays a central role in caring for patients with congenital heart disease (CHD). CHD clinicians and scientists are interested not only in cardiac morphology but also in the maladaptive ventricular responses and extracellular changes predisposing to adverse outcomes in this population. Expertise in the applications, strengths, and pitfalls of these cardiovascular imaging techniques as they relate to CHD (...) is essential. The purpose of this article is to provide an overview of cardiovascular imaging in CHD. We focus on the role of 3 widely used noninvasive imaging techniques in CHD-echocardiography, cardiac magnetic resonance imaging, and cardiac computed tomography. Consideration is given to the common goals of cardiac imaging in CHD, including assessment of structural and residual heart disease before and after surgery, quantification of ventricular volume and function, stress imaging, shunt quantification

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2017 Circulation Research

9. Exposure to Low-Dose Ionizing Radiation From Cardiac Procedures and Malignancy Risk in Adults With Congenital Heart Disease

Exposure to Low-Dose Ionizing Radiation From Cardiac Procedures and Malignancy Risk in Adults With Congenital Heart Disease Adults with congenital heart disease (CHD) are exposed to increasing amounts of low-dose ionizing radiation (LDIR) from cardiac procedures. Cancer prevalence in this population is higher than in the general population. This study estimates the association between LDIR exposure from cardiac procedures and incident cancer in adult patients with CHD.The study population (...) derived from the Quebec Congenital Heart Disease Database. We measured cumulative numbers of LDIR-related cardiac procedures for each patient until 1 year before the time of cancer diagnosis or administrative censoring. To assess the association between LDIR exposure and cancer risk, we conducted a nested case-control study and matched cancer cases with controls on sex, CHD severity, birth year, and age.The study included 24 833 adult patients with CHD aged 18 to 64 years from 1995 to 2009. In >250

2018 EvidenceUpdates

10. Treatment of heart failure in adult congenital heart disease: a position paper of the Working Group of Grown-Up Congenital Heart Disease and the Heart Failure Association of the European Society of Cardiology (PubMed)

Department, ATTIKON University Hospital and Athens University, Athens, Greece. eng Journal Article Research Support, Non-U.S. Gov't Review 2016 01 18 England Eur Heart J 8006263 0195-668X 0 Cardiotonic Agents 0 Natriuretic Peptides IM Acute Disease Adult Algorithms Cardiac Imaging Techniques methods Cardiac Resynchronization Therapy methods Cardiotonic Agents therapeutic use Clinical Protocols Defibrillators, Implantable Exercise Test Heart Defects, Congenital complications Heart Failure complications (...) Treatment of heart failure in adult congenital heart disease: a position paper of the Working Group of Grown-Up Congenital Heart Disease and the Heart Failure Association of the European Society of Cardiology 26787434 2018 05 23 2019 02 05 1522-9645 37 18 2016 05 07 European heart journal Eur. Heart J. Treatment of heart failure in adult congenital heart disease: a position paper of the Working Group of Grown-Up Congenital Heart Disease and the Heart Failure Association of the European Society

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2016 European Heart Journal

11. ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease

ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease APPROPRIATE USE CRITERIA ACC/AATS/AHA/ASE/ASNC/ HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease A Report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association (...) S, Mehran R, Schoenhagen P, Soman P. ACC/ AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 appropriate use criteria for multimodality imaging in the assessment of cardiac structure and function in nonvalvular heart disease: a report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society

2019 Heart Rhythm Society

12. Chronic Heart Failure in Congenital Heart Disease

in Congenital Heart Disease A Scientific Statement From the American Heart Association , MD, Chair , MD, Co-Chair , MD , MD , MD , MD, MSc , MD , MD, PhD , , MD, FAHA , MD, FAHA , MD , MD , MD, FAHA , MD, MHSc , and MD MD, FAHAon behalf of the American Heart Association Council on Clinical Cardiology, Council on Functional Genomics and Translational Biology, and Council on Cardiovascular Radiology and Imaging Karen K. Stout , Craig S. Broberg , Wendy M. Book , Frank Cecchin , Jonathan M. Chen , Konstantinos (...) survived the first year of life occurred after 18 years of age. Adults with CHD are also living longer, with the overall median age at death increasing from 37 years in 2002 to 57 years in 2007. Even more striking is the change in mortality for patients with CHD of great complexity, in whom the median age at death has increased from 2 years before 1995 to almost 25 years currently ( ). Figure 1. Prevalence/incidence of congenital heart disease (CHD). A and B , Prevalence of CHD in different age groups

2016 American Heart Association

13. Congenital Heart Disease in the Older Adult

Congenital Heart Disease in the Older Adult Congenital Heart Disease in the Older Adult | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February 2019 January 2019 January 2019 January 2019 January 2019 January 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access article Share on Jump to Free (...) Access article Congenital Heart Disease in the Older Adult A Scientific Statement From the American Heart Association , MD , MD, FAHA , MD, MPH , MD , MD , DNP , MD , MD , MD , MD , MD, FAHA , and MD MD, MASon behalf of the American Heart Association Council on Clinical Cardiology Ami B. Bhatt , Elyse Foster , Karen Kuehl , Joseph Alpert , Stephen Brabeck , Stephen Crumb , William R. DavidsonJr , Michael G. Earing , Brian B. Ghoshhajra , Tara Karamlou , Seema Mital , Jennifer Ting , and Zian H. Tseng

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2015 American Heart Association

14. Task Force 6: Pediatric Cardiology Fellowship Training in Adult Congenital Heart Disease

, 2019Stout et al Pediatric Training Statement: Adult Congenital Heart Disease e93 Any diagnostic or interventional procedures for adults with moderate or complex CHD including (but not limited to) cath- eterization, surgery, echocardiography, or cardiac magnetic resonance imaging (MRI) should be performed in a location and by personnel with expertise in that modality and ACHD. For procedures requiring anesthesia, it is important to include cardiac anesthesiologists with experience with ACHD. 3. Core (...) Task Force 6: Pediatric Cardiology Fellowship Training in Adult Congenital Heart Disease SPCTPD/ACC/AAP/AHA Pediatric Training Statement e91 1. Introduction 1.1. Document Development Process The Society of Pediatric Cardiology Training Program Directors (SPCTPD) board assembled a Steering Committee that nominated 2 chairs, 1 SPCTPD Steering Committee member, and 4 additional experts from a wide range of pro- gram sizes, geographic regions, and subspecialty focuses. Representatives from

2015 American Heart Association

15. Congenital Heart Disease Imaging in Adults

Congenital Heart Disease Imaging in Adults Congenital Heart Disease Imaging in Adults Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Congenital Heart Disease Imaging in Adults Congenital Heart Disease Imaging in Adults Aka: Congenital Heart Disease Imaging in Adults II. Imaging: First Line tests (all cases of suspected CHD) III. Imaging: Second-line tests (preferred) (MRI ) Advantages Best consistent, operator and habitus-independent anatomic and functional information Evaluates shunts, pressure gradients, and other abnormal flow patterns (as opposed to CT) Uniquely shows complex congenital lesions, right ventricular outflow

2018 FP Notebook

16. Large-Deformation Image Registration of CT-TEE for Surgical Navigation of Congenital Heart Disease (PubMed)

was achieved by migrating parameters. This method was tested on a dataset of 240 images from 12 infant, children (≤ 3 years old), and adult patients with congenital heart disease. Compared to the "bronze standard" registration, the proposed method was more accurate with an average Dice coefficient of 0.91 and an average root mean square of target registration error of 1.2655 mm. (...) Large-Deformation Image Registration of CT-TEE for Surgical Navigation of Congenital Heart Disease The surgical treatment of congenital heart disease requires navigational assistance with transesophageal echocardiography (TEE); however, TEE images are often difficult to interpret and provide very limited anatomical information. Registering preoperative CT images to intraoperative TEE images provides surgeons with richer and more useful anatomical information. Yet, CT and TEE images differ

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2018 Computational and mathematical methods in medicine

17. Advanced diffusion imaging for assessing normal white matter development in neonates and characterizing aberrant development in congenital heart disease (PubMed)

Diffusion Tensor Imaging (DTI) model although more advanced models such as the Neurite Orientation Dispersion and Density Imaging (NODDI) model and the Gaussian Mixture Model (GMM) have been used in adult population. In this study, we compare the ability of these three diffusion models to detect regional white matter maturation in typically developing control (TDC) neonates and regional abnormalities in neonates with congenital heart disease (CHD).Multiple b-value diffusion Magnetic Resonance Imaging (...) Advanced diffusion imaging for assessing normal white matter development in neonates and characterizing aberrant development in congenital heart disease Elucidating developmental trajectories of white matter (WM) microstructure is critically important for understanding normal development and regional vulnerabilities in several brain disorders. Diffusion Weighted Imaging (DWI) is currently the method of choice for in-vivo white matter assessment. A majority of neonatal studies use the standard

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2018 NeuroImage : Clinical

18. CCS/CPCA Position Statement on Pulse Oximetry Screening in Newborns to Enhance Detection of Critical Congenital Heart Disease

CCS/CPCA Position Statement on Pulse Oximetry Screening in Newborns to Enhance Detection of Critical Congenital Heart Disease Canadian Cardiovascular Society/Canadian Pediatric Cardiology Association Position Statement on Pulse Oximetry Screening in Newborns to Enhance Detection of Critical Congenital Heart Disease - Canadian Journal of Cardiology Email/Username: Password: Remember me Search Terms Search within Search Share this page Access provided by Volume 33, Issue 2, Pages 199–208 Canadian (...) Cardiovascular Society/Canadian Pediatric Cardiology Association Position Statement on Pulse Oximetry Screening in Newborns to Enhance Detection of Critical Congenital Heart Disease x Kenny K. Wong Affiliations Pediatric Cardiology, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada Correspondence Corresponding author: Dr Kenny K. Wong, IWK Health Centre, 5850 University Ave, Halifax, Nova Scotia B3K6R8, Canada. Tel.: +1-902-470-6956; fax: +1-902-470-6616. , MD (Co-Chair) a , ∗ , x Kenny K

2016 Canadian Cardiovascular Society

19. The Combined Use of Ultrasound and Fetal Magnetic Resonance Imaging for a Comprehensive Fetal Neurological Assessment in Fetal Congenital Cardiac Defects

‐Kobar, M , Tworetzky, W , McElhinney, DB , Brown, DW , et al. Delayed cortical development in fetuses with complex congenital heart disease . Cereb Cortex 2013 ; 23 : 2932 – 43 . 72 Jiang, S , Xue, H , Glover, A , Rutherford, M , Rueckert, D , Hajnal, JV . MRI of moving subjects using multislice snapshot images with volume reconstruction (SVR): application to fetal, neonatal, and adult brain studies . IEEE Trans Med Imaging 2007 ; 26 : 967 – 80 . 73 Limperopoulos, C , Tworetzky, W , McElhinney, DB (...) , Goodship, JA , van der Velde, ET , Baars, MJH , et al. 22q11.2 Deletion Syndrome is under‐recognised in adult patients with tetralogy of Fallot and pulmonary atresia . Heart 2010 ; 96 : 621 – 4 . 13 Joziasse, IC , Smagt, JJ , Smith, K , Bakkers, J , Sieswerda, GJ , Mulder, BJ , et al. Genes in congenital heart disease: atrioventricular valve formation . Basic Res Cardiol 2008 ; 103 : 216 – 27 . 14 Yano, S , Moseley, K , Bottiglieri, T , Arning, E , Azen, C . Maternal Phenylketonuria International

2019 Royal College of Obstetricians and Gynaecologists

20. Prevalence and prognostic significance of pulmonary artery aneurysms in adults with congenital heart disease. (PubMed)

Prevalence and prognostic significance of pulmonary artery aneurysms in adults with congenital heart disease. Prevalence and prognostic significance of pulmonary artery (PA) dilatation in congenital heart disease (CHD) have never been studied systematically.Chest X-rays of 1192 consecutive adults with CHD were reviewed. Major diameter of the PA was determined by imaging techniques in those with PA dilatation. A value >29 mm was considered abnormal. Data on anatomy, hemodynamics, residual

2018 International journal of cardiology

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