ROLE OF MULTI SLICE COMPUTED TOMOGRAPHIC ANGIOGRAPHY AS AN ADDITIONAL TOOL TO TRANSTHORACIC ECHOCARDIOGRAPHY FOR DIAGNOSIS OF PULMONARY VEIN ANOMALIES

Authors

  • Ijaz Hussain
  • Shah Zeb
  • Abdul Ghaffar
  • Mohammad Irfan

DOI:

https://doi.org/10.47144/phj.v46i3.665

Keywords:

CT angiography, Partial anomalous pulmonary venous connections, Total anomalouspulmonary venous connections.

Abstract

ABSTRACT
Objective: To determine the role and safety of CT angiography as an additional
tool to transthoracic echocardiography in the diagnosis of pulmonary vein
anomalies.
Methodology: All patients with suspected anomalous pulmonary venous
connections from first October 2011 to 30 May 2013 were included in the study.
Results: A total number of 99 patients with suspected pulmonaryanomalous
venous connections or pulmonary vein stenosis were included in the study.
Among them 54(54.5%) were male, while 45(45.4%) were females. Mean age
was 28.19± 34.1 months ( 2 days to 33 years). The mean weight was
9.1±6.37kg (2.5kg to 62kg).Sedation with oral chloral hydrate was used in
majority of patients i.e 72 (72.7 %), 13(13.1%) required no sedation, 9(9.1%)
required midazolam, 4(4%) required morphine while only one patient required
ketamine. The sensitivity of transthoracic echocardiography for partial
anomalous pulmonary venous connection (PAPVC) was 91.6% and specificity
was 96%.The sensitivity of transthoracic echocardiography for total anomalous
pulmonary venous connection (TAPVC) was 86.5% and specificity was 100%.
The sensitivity of transthoracic echocardiography for isolated pulmonary vein
stenosis was 66.6% and specificity was 100%. We were unable to assess
pulmonaryvenous drainage on transthoracic echocardiography in 38(38.4%)
patients.
Conclusion: CT angiography is a useful additional tool to transthoracic echo in
assessment of pulmonary venous drainage in patients with limited echo windows
and other technically difficult echocardigrams.

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How to Cite

1.
Hussain I, Zeb S, Ghaffar A, Irfan M. ROLE OF MULTI SLICE COMPUTED TOMOGRAPHIC ANGIOGRAPHY AS AN ADDITIONAL TOOL TO TRANSTHORACIC ECHOCARDIOGRAPHY FOR DIAGNOSIS OF PULMONARY VEIN ANOMALIES. Pak Heart J [Internet]. 2013Nov.9 [cited 2024Nov.24];46(3). Available from: https://pakheartjournal1.pcs.org.pk/index.php/pk/article/view/665

Issue

Vol. 46 No. 3 (2013): Pakistan Heart Journal

Section

Original Article

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