Paediatric cardiovascular procedures

A number of paediatric cardiovascular procedures are encountered when reporting paediatric imaging. They include

  • Blalock Taussig (BT) shunt :

o classic : end to side subclavian to ipsilateral pulmonary arterial anastomosis
o modified : graft anastomsis

  • Waterston shunt :
  • Sano shunt : right ventricle to pulmonary artery
  • bidirectional Glenn anastomosis : superior vena cava to right pulmonary artery end to side anastomosis
  • Fontan procedure :

o original : right atrium to pulmonary artery
o fenestrated :

  • intra atrial tunnel :
  • pulmonary arterial banding :
  • Rastelli procedure : tunnel from left ventricle to aorta through VSD
  • arterial switch :
  • Norwood procedure

o classic
o modified

  • Kawashima procedure :
  • Mustard repair :
  • Senning repair :
TGA%20with%20subsequent%20Mustard%20repair.jpg

Post Mustard repair for TGA

Image courtesy by Dr Frank Gaillard, Radiopaedia

Article Author : Dr Yuranga Weerakkody, Radiopaedia

References

* 1. Marilyn J. Siegel et.al, Pictorial Essay : MDCT of Postoperative Anatomy and Complications in Adults with Cyanotic Heart Disease, AJR 2005; 184:241-247
* 2. Rafaela Soler et.al, Postoperative Imaging in Cyanotic Congenital Heart Diseases: Part 2, Complications, AJR 2007; 189:1361–1369
* 3. Sebastian Leschka et.al, Pre- and Postoperative Evaluation of Congenital Heart Disease in Children and Adults with 64-Section CT : May 2007 RadioGraphics, 27, 829-846.
* 4. Philip J. Spevak et.al, Surgically Corrected Congenital Heart Disease: Utility of 64-MDCT, AJR 2008; 191:854-861

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