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Pediatric Cardiothoracic CT Guideline Provided by the Asian Society of Cardiovascular Imaging Congenital Heart Disease Study Group: Part 2. Contemporary Clinical Applications

  • Hyun Woo Goo (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Suvipaporn Siripornpitak (Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University) ;
  • Shyh-Jye Chen (Department of Medical Imaging, National Taiwan University, Medical College and Hospital) ;
  • Oktavia Lilyasari (Department of Cardiology and Vascular Medicine, Universitas Indonesia, National Cardiovascular Center Harapan Kita) ;
  • Yu-Min Zhong (Diagnostic Imaging Center, Shanghai Children's Medical Center) ;
  • Haifa Abdul Latiff (Pediatric and Congenital Heart Centre, Institut Jantung Negara) ;
  • Eriko Maeda (Department of Radiology, The University of Tokyo) ;
  • Young Jin Kim (Department of Radiology, Severance Hospital, Yonsei University College of Medicine) ;
  • I-Chen Tsai (Congenital Heart Disease Study Group Member of the Asian Society of Cardiovascular Imaging) ;
  • Dong Man Seo (Department of Cardiothoracic Surgery, Ewha Womans University Seoul Hospital)
  • Received : 2020.11.09
  • Accepted : 2021.01.31
  • Published : 2021.08.01

Abstract

The use of pediatric cardiothoracic CT for congenital heart disease (CHD) was traditionally limited to the morphologic evaluation of the extracardiac thoracic vessels, lungs, and airways. Currently, the applications of CT have increased, owing to technological advancements in hardware and software as well as several dose-reduction measures. In the previously published part 1 of the guideline by the Asian Society of Cardiovascular Imaging Congenital Heart Disease Study Group, we reviewed the prerequisite technical knowledge for clinical applications in a user-friendly and vendor-specific manner. Herein, we present the second part of our guideline on contemporary clinical applications of pediatric cardiothoracic CT for CHD based on the consensus of experts from the Asian Society of Cardiovascular Imaging CHD Study Group. This guideline describes up-to-date clinical applications effectively in a systematic fashion.

Keywords

References

  1. Yang JC, Lin MT, Jaw FS, Chen SJ, Wang JK, Shih TT, et al. Trends in the utilization of computed tomography and cardiac catheterization among children with congenital heart disease. J Formos Med Assoc 2015;114:1061-1068
  2. Lee T, Tsai IC, Fu YC, Jan SL, Wang CC, Chang Y, et al. Using multidetector-row CT in neonates with complex congenital heart disease to replace diagnostic cardiac catheterization for anatomical investigation: initial experiences in technical and clinical feasibility. Pediatr Radiol 2006;36:1273-1282
  3. Hui PKT, Goo HW, Du J, Ip JJK, Kanzaki S, Kim YJ, et al. Asian consortium on radiation dose of pediatric cardiac CT (ASCI-REDCARD). Pediatr Radiol 2017;47:899-910
  4. Goo HW. State-of-the-art CT imaging techniques for congenital heart disease. Korean J Radiol 2010;11:4-18
  5. Goo HW. Cardiac MDCT in children: CT technology overview and interpretation. Radiol Clin North Am 2011;49:997-1010
  6. Hong SH, Goo HW, Maeda E, Choo KS, Tsai IC; Asian Society of Cardiovascular Imaging Congenital Heart Disease Study Group. User-friendly vendor-specific guideline for pediatric cardiothoracic computed tomography provided by the Asian Society of Cardiovascular Imaging Congenital Heart Disease Study Group: part 1. Imaging techniques. Korean J Radiol 2019;20:190-204
  7. Goo HW, Park IS, Ko JK, Kim YH, Seo DM, Yun TJ, et al. CT of congenital heart disease: normal anatomy and typical pathologic conditions. Radiographics 2003;23 Spec No:S147-S165
  8. Goo HW, Park IS, Ko JK, Kim YH, Seo DM, Park JJ. Computed tomography for the diagnosis of congenital heart disease in pediatric and adult patients. Int J Cardiovasc Imaging 2005;21:347-365
  9. Goo HW. Current trends in cardiac CT in children. Acta Radiol 2013;54:1055-1062
  10. Goo HW, Seo DM, Yun TJ, Park JJ, Park IS, Ko JK, et al. Coronary artery anomalies and clinically important anatomy in patients with congenital heart disease: multislice CT findings. Pediatr Radiol 2009;39:265-273
  11. Han BK, Rigsby CK, Hlavacek A, Leipsic J, Nicol ED, Siegel MJ, et al. Computed tomography imaging in patients with congenital heart disease part I: rationale and utility. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT): endorsed by the Society of Pediatric Radiology (SPR) and the North American Society of Cardiac Imaging (NASCI). J Cardiovasc Comput Tomogr 2015;9:475-492
  12. Tsai IC, Goo HW. Cardiac CT and MRI for congenital heart disease in Asian countries: recent trends in publication based on a scientific database. Int J Cardiovasc Imaging 2013;29 Suppl 1:1-5
  13. Zucker EJ. Cross-sectional imaging of congenital pulmonary artery anomalies. Int J Cardiovasc Imaging 2019;35:1535-1548
  14. Escalon JG, Browne LP, Bang TJ, Restrepo CS, Ocazionez D, Vargas D. Congenital anomalies of the pulmonary arteries: an imaging overview. Br J Radiol 2019;92:20180185
  15. Lapierre C, Dubois J, Rypens F, Raboisson MJ, Dery J. Tetralogy of Fallot: preoperative assessment with MR and CT imaging. Diagn Interv Imaging 2016;97:531-541
  16. Goo HW. Computed tomography pulmonary vascular volume ratio in children and young adults with congenital heart disease: the effect of cardiac phase. Pediatr Radiol 2018;48:915-922
  17. Meinel FG, Huda W, Schoepf UJ, Rao AG, Cho YJ, Baker GH, et al. Diagnostic accuracy of CT angiography in infants with tetralogy of Fallot with pulmonary atresia and major aortopulmonary collateral arteries. J Cardiovasc Comput Tomogr 2013;7:367-375
  18. Lin MT, Wang JK, Chen YS, Lee WJ, Chiu HH, Chen CA, et al. Detection of pulmonary arterial morphology in tetralogy of Fallot with pulmonary atresia by computed tomography: 12 years of experience. Eur J Pediatr 2012;71:579-586
  19. Koplay M, Cimen D, Sivri M, Guvenc O, Arslan D, Nayman A, et al. Truncus arteriosus: diagnosis with dual-source computed tomography angiography and low radiation dose. World J Radiol 2014;6:886-889
  20. Yakut K, Tokel NK, Ozkan M, Varan B, Erdogan I, Aslamaci S. Diagnosis and surgical treatment of aortopulmonary window: our single-center experience. Turk Gogus Kalp Damar Cerrahisi Derg 2018;26:30-37
  21. Zhong YM, Jaffe RB, Liu JF, Sun AM, Gao W, Wang Q, et al. Multi-slice computed tomography assessment of bronchial compression with absent pulmonary valve. Pediatr Radiol 2014;44:803-809
  22. Zhong YM, Jaffe RB, Zhu M, Gao W, Sun AM, Wang Q. CT assessment of tracheobronchial anomaly in left pulmonary artery sling. Pediatr Radiol 2010;40:1755-1762
  23. Dillman JR, Yarram SG, Hernandez RJ. Imaging of pulmonary venous developmental anomalies. AJR Am J Roentgenol 2009;192:1272-1285
  24. Pandey NN, Sharma A, Jagia P. Imaging of anomalous pulmonary venous connections by multidetector CT angiography using third-generation dual source CT scanner. Br J Radiol 2018;91:20180298
  25. Ou P, Marini D, Celermajer DS, Agnoletti G, Vouhe P, Sidi D, et al. Non-invasive assessment of congenital pulmonary vein stenosis in children using cardiac-non-gated CT with 64-slice technology. Eur J Radiol 2009;70:595-599
  26. Goo HW, Park SH, Koo HJ, Cho YH, Lee E. Atresia of the bilateral pulmonary veins: a rare and dismal anomaly identified on cardiac CT. Pediatr Radiol 2014;44:942-947
  27. Hanneman K, Newman B, Chan F. Congenital variants and anomalies of the aortic arch. Radiographics 2017;37:32-51
  28. Liu PS, St John Sutton MG, Litt HI. Diffuse supravalvular aortic stenosis: comprehensive imaging with ECG-gated CT angiography. Int J Cardiovasc Imaging 2007;23:269-272
  29. Das KM, Momenah TS, Larsson SG, Jadoon S, Aldosary AS, Lee EY. Williams-Beuren syndrome: computed tomography imaging review. Pediatr Cardiol 2014;35:1309-1320
  30. Shin HJ, Jhang WK, Park JJ, Goo HW, Seo DM. Modified simple sliding aortoplasty for preserving the sinotubular junction without using foreign material for congenital supravalvar aortic stenosis. Eur J Cardiothorac Surg 2011;40:598-602
  31. Karaosmanoglu AD, Khawaja RD, Onur MR, Kalra MK. CT and MRI of aortic coarctation: pre- and postsurgical findings. AJR Am J Roentgenol 2015;204:W224-W233
  32. Yang DH, Goo HW, Seo DM, Yun TJ, Park JJ, Park IS, et al. Multislice CT angiography of interrupted aortic arch. Pediatr Radiol 2008;38:89-100
  33. Tola H, Ozturk E, Yildiz O, Erek E, Haydin S, Turkvatan A, et al. Assessment of children with vascular ring. Pediatr Int 2017;59:134-140
  34. Lee EY, Zurakowski D, Waltz DA, Mason KP, Riaz F, Ralph A, et al. MDCT evaluation of the prevalence of tracheomalacia in children with mediastinal aortic vascular anomalies. J Thorac Imaging 2008;23:258-265
  35. Goo HW. Free-breathing cine CT for the diagnosis of tracheomalacia in young children. Pediatr Radiol 2013;43:922-928
  36. Goo HW. Four-dimensional thoracic CT in free-breathing children. Korean J Radiol 2019;20:50-57
  37. Schlesinger AE, Krishnamurthy R, Sena LM, Guillerman RP, Chung T, DiBardino DJ, et al. Incomplete double aortic arch with atresia of the distal left arch: distinctive imaging appearance. AJR Am J Roentgenol 2005;184:1634-1639
  38. Bernasconi A, Goo HW, Yoo SJ. Double-barrelled aorta with tetralogy of Fallot and pulmonary atresia. Cardiol Young 2007;17:98-101
  39. Naimo PS, Vazquez-Alvarez Mdel C, d'Udekem Y, Jones B, Konstantinov IE. Double-lumen aortic arch: persistence of the fifth aortic arch. Ann Thorac Surg 2016;101:e155-e156
  40. Thodi Ramamurthy M, Balakrishnan VK, David SAN, Korrapati HS. Congenital kinking of aorta. BMJ Case Rep 2017;2017:bcr2017220896
  41. Jadhav SP, Aggarwal V, Masand PM, Diaz E, Zhang W, Qureshi AM. Correlation of ductus arteriosus length and morphology between computed tomographic angiography and catheter angiography and their relation to ductal stent length. Pediatr Radiol 2020;50:800-809
  42. Rehman R, Marhisham MC, Alwi M. Stenting the complex patent ductus arteriosus in tetralogy of Fallot with pulmonary atresia: challenges and outcomes. Future Cardiol 2018;14:55-73
  43. Hayabuchi Y, Mori K, Kagami S. Virtual endoscopy using multidetector-row CT for coil occlusion of patent ductus arteriosus. Catheter Cardiovasc Interv 2007;70:434-439
  44. Goo HW, Yang DH. Coronary artery visibility in free-breathing young children with congenital heart disease on cardiac 64-slice CT: dual-source ECG-triggered sequential scan vs. single-source non-ECG-synchronized spiral scan. Pediatr Radiol 2010;40:1670-1680
  45. Paul JF, Rohnean A, Elfassy E, Sigal-Cinqualbre A. Radiation dose for thoracic and coronary step-and-shoot CT using a 128-slice dual-source machine in infants and small children with congenital heart disease. Pediatr Radiol 2011;41:244-249
  46. Kanie Y, Sato S, Tada A, Kanazawa S. Image quality of coronary arteries on non-electrocardiography-gated highpitch dual-source computed tomography in children with congenital heart disease. Pediatr Cardiol 2017;38:1393-1399
  47. Barrera CA, Otero HJ, White AM, Saul D, Biko DM. Depiction of the native coronary arteries during ECG-triggered high-pitch dual-source coronary computed tomography angiography in children: determinants of image quality. Clin Imaging 2018;52:240-245
  48. Goo HW. Image quality and radiation dose of high-pitch dual-source spiral cardiothoracic computed tomography in young children with congenital heart disease: comparison of non-electrocardiography synchronization and prospective electrocardiography triggering. Korean J Radiol 2018;19:1031-1041
  49. Goo HW. Coronary artery imaging in children. Korean J Radiol 2015;16:239-250
  50. Lowry AW, Olabiyi OO, Adachi I, Moodie DS, Knudson JD. Coronary artery anatomy in congenital heart disease. Congenit Heart Dis 2013;8:187-202
  51. Kervancioglu M, Tokel K, Varan B, Yildirim SV. Frequency, origins and courses of anomalous coronary arteries in 607 Turkish children with tetralogy of Fallot. Cardiol J 2011;18:546-551
  52. Goo HW. Coronary artery anomalies on preoperative cardiac CT in children with tetralogy of Fallot or Fallot type of double outlet right ventricle: comparison with surgical findings. Int J Cardiovasc Imaging 2018;34:1997-2009
  53. Goo HW. Identification of coronary artery anatomy on dualsource cardiac computed tomography before arterial switch operation in newborns and young infants: comparison with transthoracic echocardiography. Pediatr Radiol 2018;48:176-185
  54. Giglia TM, Mandell VS, Connor AR, Mayer JE Jr, Lock JE. Diagnosis and management of right ventricle-dependent coronary circulation in pulmonary atresia with intact ventricular septum. Circulation 1992;86:1516-1528
  55. Seguela PE, Houyel L, Loget P, Piot JD, Paul JF. Critical stenosis of a right ventricle to coronary artery fistula seen at dual-source CT in a newborn with pulmonary atresia and intact ventricular septum. Pediatr Radiol 2011;41:1069-1072
  56. Pena E, Nguyen ET, Merchant N, Dennie C. ALCAPA syndrome: not just a pediatric disease. Radiographics 2009;29:553-565
  57. Pandey NN, Sinha M, Sharma A, Rajagopal R, Bhambri K, Kumar S. Anomalies of coronary artery origin: evaluation on multidetector CT angiography. Clin Imaging 2019;57:87-98
  58. Tsai WL, Wei HJ, Tsai IC. High-take-off coronary artery: a haemodynamically minor, but surgically important coronary anomaly. Pediatr Radiol 2010;40:232-233
  59. Batouty NM, Sobh DM, Gadelhak B, Sobh HM, Mahmoud W, Tawfik AM. Left superior vena cava: cross-sectional imaging overview. Radiol Med 2020;125:237-246
  60. Kim C, Goo HW, Yu JJ, Yun TJ. Coronary sinus ostial atresia with persistent left superior vena cava demonstrated on cardiac CT in an infant with a functional single ventricle. Pediatr Radiol 2012;42:761-763
  61. Agarwal PP, Mahani MG, Lu JC, Dorfman AL. Levoatriocardinal vein and mimics: spectrum of imaging findings. AJR Am J Roentgenol 2015;205:W162-W171
  62. Takada Y, Narimatsu A, Kohno A, Kawai C, Hara H, Harasawa A, et al. Anomalous left brachiocephalic vein: CT findings. J Comput Assist Tomogr 1992;16:893-896
  63. Ugas Charcape CF, Alpaca Rodriguez LR, Matos Rojas IA, Lazarte Rantes CI, Valdez Quintana M, Katekaru Tokeshi DA, et al. Characterisation of computed tomography angiography findings in paediatric patients with heterotaxy. Pediatr Radiol 2019;49:1142-1151
  64. Montesa C, Karamlou T, Ratnayaka K, Pophal SG, Ryan J, Nigro JJ. Hepatic vein incorporation into the azygos system in heterotaxy and interrupted inferior vena cava. World J Pediatr Congenit Heart Surg 2019;10:330-337
  65. Nakata T, Fujimoto Y, Hirose K, Osaki M, Tosaka Y, Ide Y, et al. Fontan completion in patients with atrial isomerism and separate hepatic venous drainage. Eur J Cardiothorac Surg 2010;37:1264-1270
  66. Kim H, Chung JW, Park JH, Yin YH, Park SH, Yoon CJ, et al. CT venography in the diagnosis and treatment of benign thoracic central venous obstruction. Korean J Radiol 2003;4:146-152
  67. Goo HW. Chapter 3. CT in pediatric heart disease. In: Saremi F, Achenbach S, Arbustini E, Narula J, eds. Revisiting cardiac anatomy: a computed-tomography-based atlas and reference. Oxford: Wiley-Blackwell, 2011:76-84
  68. Truong QA, Yared K, Maurovich-Horvat P, Siegel E, Cubeddu RJ, King ME, et al. Images in cardiovascular medicine. Double-chambered right ventricle and situs inversus with dextrocardia. Circulation 2010;121:e229-e232
  69. Inoue Y, Igawa O, Iitsuka K. Aneurysm of the right ventricular outflow tract after surgical repair of Tetralogy of Fallot: three-dimensional computed tomography findings. Europace 2009;11:130
  70. Nakazono T, Jeudy J, White CS. Left and right ventricular diverticula: incidence and imaging findings on 256-slice multidetector computed tomography. J Thorac Imaging 2012;27:179-183
  71. Ojha V, Chandrashekhara SH, Ganga KP, Saxena A, Gulati G. Congenital left ventricular diverticulum in pentalogy of cantrell: puzzle solved with dual-source CT. Ann Thorac Surg 2019;108:e205
  72. Nakagawa M, Hara M, Sakurai K, Ohashi K, Asano M, Shibamoto Y. Usefulness of electrocardiography-gated dualsource computed tomography for evaluating morphological features of the ventricles in children with complex congenital heart defects. Jpn J Radiol 2011;29:540-546
  73. Dydynski PB, Kiper C, Kozik D, Keller BB, Austin E, Holland B. Three-dimensional reconstruction of intracardiac anatomy using CTA and surgical planning for double outlet right ventricle: early experience at a tertiary care congenital heart center. World J Pediatr Congenit Heart Surg 2016;7:467-474
  74. Yim D, Dragulescu A, Ide H, Seed M, Grosse-Wortmann L, van Arsdell G, et al. Essential modifiers of double outlet right ventricle: revisit with endocardial surface images and 3-dimensional print models. Circ Cardiovasc Imaging 2018;11:e006891
  75. Goo HW, Park SJ, Yoo SJ. Advanced medical use of threedimensional imaging in congenital heart disease: augmented reality, mixed reality, virtual reality, and three-dimensional printing. Korean J Radiol 2020;21:133-145
  76. Goo HW. Myocardial delayed-enhancement CT: initial experience in children and young adults. Pediatr Radiol 2017;47:1452-1462
  77. Han BK, Hlavacek AM, Kay WA, Pham TDN, Grant K, Garberich RF, et al. Multi-institutional evaluation of the indications and radiation dose of functional cardiovascular computed tomography (CCT) imaging in congenital heart disease. Int J Cardiovasc Imaging 2016;32:339-346
  78. Goo HW. Serial changes in anatomy and ventricular function on dual-source cardiac computed tomography after the Norwood procedure for hypoplastic left heart syndrome. Pediatr Radiol 2017;47:1776-1786
  79. Goo HW. Changes in right ventricular volume, volume load, and function measured with cardiac computed tomography over the entire time course of tetralogy of Fallot. Korean J Radiol 2019;20:956-966
  80. Goo HW. Quantification of initial right ventricular dimensions by computed tomography in infants with congenital heart disease and a hypoplastic right ventricle. Korean J Radiol 2020;21:203-209
  81. Goo HW. Technical feasibility of semiautomatic threedimensional threshold-based cardiac computed tomography quantification of left ventricular mass. Pediatr Radiol 2019;49:318-326
  82. Buss SJ, Schulz F, Mereles D, Hosch W, Galuschky C, Schummers G, et al. Quantitative analysis of left ventricular strain using cardiac computed tomography. Eur J Radiol 2014;83:e123-e130
  83. Goo HW, Park SH. Pattern analysis of left ventricular remodeling using cardiac computed tomography in children with congenital heart disease: preliminary results. Korean J Radiol 2020;21:717-725
  84. Malik SB, Kwan D, Shah AB, Hsu JY. The right atrium: gateway to the heart--anatomic and pathologic imaging findings. Radiographics 2015;35:14-31
  85. Goo HW. Haemodynamic findings on cardiac CT in children with congenital heart disease. Pediatr Radiol 2011;41:250-261
  86. Saremi F. Cardiac shunts: ASD, VSD, PDA. In: Saremi F, ed. Cardiac CT and MR for adult congenital heart disease, 1st ed. New York: Springer, 2014:305-345
  87. Yasunaga D, Hamon M. MDCT of interatrial septum. Diagn Interv Imaging 2015;96:891-899
  88. Sun L, Juan YH, Chen J, Zhuang J, Xie J, Li H, et al. Evaluation of unroofed coronary sinus syndrome using cardiovascular CT angiography: an observational study. AJR Am J Roentgenol 2018;211:314-320
  89. Malik A, Fram D, Mohani A, Fischerkeller M, Yekta A, Mohyuddin Y, et al. Cor triatriatum: a multimodality imaging approach. Can J Cardiol 2008;24:e19-e20
  90. Thakrar A, Shapiro MD, Jassal DS, Neilan TG, King ME, Abbara S. Cor triatriatum: the utility of cardiovascular imaging. Can J Cardiol 2007;23:143-145
  91. Sanchez-Brotons JA, Lopez-Pardo FJ, Rodriguez-Puras MJ, Lopez-Haldon JE. Cor triatriatum dexter in adults. Rev Esp Cardiol 2010;63:998-999
  92. Goo HW. Evaluation of the airways in patients with congenital heart disease using multislice CT. J Korean Pediatr Cardiol Soc 2004;8:37-43
  93. Jhang WK, Park JJ, Seo DM, Goo HW, Gwak M. Perioperative evaluation of airways in patients with arch obstruction and intracardiac defects. Ann Thorac Surg 2008;85:1753-1758
  94. Etesami M, Ashwath R, Kanne J, Gilkeson RC, Rajiah P. Computed tomography in the evaluation of vascular rings and slings. Insights Imaging 2014;5:507-521
  95. Lee EY, Zucker EJ, Restrepo R, Daltro P, Boiselle PM. Advanced large airway CT imaging in children: evolution from axial to 4-D assessment. Pediatr Radiol 2013;43:285-297
  96. Ming Z, Lin Z. Evaluation of tracheal bronchus in Chinese children using multidetector CT. Pediatr Radiol 2007;37:1230-1234
  97. Yamoto M, Fukumoto K, Sekioka A, Iwazaki T, Sano K, Takahashi T, et al. Non-operative management of congenital tracheal stenosis: criteria by computed tomography. Pediatr Surg Int 2019;35:1123-1130
  98. Masrani A, McWilliams S, Bhalla S, Woodard PK. Anatomical associations and radiological characteristics of Scimitar syndrome on CT and MR. J Cardiovasc Comput Tomogr 2018;12:286-289
  99. Goo HW, Kim YH, Ko JK, Park IS, Yoon CH. Horseshoe lung: useful angiographic and bronchographic images using multidetector-row spiral CT in two infants. Pediatr Radiol 2002;32:529-532
  100. Long FR, Castile RG. Technique and clinical applications of full-inflation and end-exhalation controlled-ventilation chest CT in infants and young children. Pediatr Radiol 2001;31:413-422
  101. Goo HW, Kim HJ. Detection of air trapping on inspiratory and expiratory phase images obtained by 0.3-second cine CT in the lungs of free-breathing young children. AJR Am J Roentgenol 2006;187:1019-1023
  102. Chen SJ, Li YW, Wang JK, Wu MH, Chiu IS, Chang CI, et al. Usefulness of electron beam computed tomography in children with heterotaxy syndrome. Am J Cardiol 1998;81:188-194
  103. Wolla CD, Hlavacek AM, Schoepf UJ, Bucher AM, Chowdhury S. Cardiovascular manifestations of heterotaxy and related situs abnormalities assessed with CT angiography. J Cardiovasc Comput Tomogr 2013;7:408-416
  104. Makhija Z, Marwah A, Mishra S, Kumar J, Goel A, Sharma R. Biventricular repair in heterotaxy patients. World J Pediatr Congenit Heart Surg 2015;6:195-202
  105. Chen BB, Chen SJ, Wu MH, Li YW, Lue HC. EBCT-McGoon ratio a reliable and useful method to predict pulmonary blood flow non-invasively. Chinese J Radiol 2007;32:1-8
  106. Park EA, Lee W, Chung SY, Yin YH, Chung JW, Park JH. Optimal scan timing and intravenous route for contrastenhanced computed tomography in patients after Fontan operation. J Comput Assist Tomogr 2010;34:75-81
  107. Egbe AC, Reddy YNV, Khan AR, Al-Otaibi M, Akintoye E, Obokata M, et al. Venous congestion and pulmonary vascular function in Fontan circulation: implications for prognosis and treatment. Int J Cardiol 2018;271:312-316
  108. Lluri G, Levi DS, Aboulhosn J. Systemic to pulmonary venous collaterals in adults with single ventricle physiology after cavopulmonary palliation. Int J Cardiol 2015;189:159-163
  109. Litmanovich DE, Kirsch J. Computed tomography of cardiac valves: review. Radiol Clin North Am 2019;57:141-164
  110. Faure ME, Swart LE, Dijkshoorn ML, Bekkers JA, van Straten M, Nieman K, et al. Advanced CT acquisition protocol with a third-generation dual-source CT scanner and iterative reconstruction technique for comprehensive prosthetic heart valve assessment. Eur Radiol 2018;28:2159-2168
  111. Bang JH, Park JJ, Goo HW. Evaluation of commissural malalignment of aortic-pulmonary sinus using cardiac CT for arterial switch operation: comparison with transthoracic echocardiography. Pediatr Radiol 2017;47:556-564
  112. Goo HW, Park SH. Computed tomography-based ventricular volumes and morphometric parameters for deciding the treatment strategy in children with a hypoplastic left ventricle: preliminary results. Korean J Radiol 2018;19:1042-1052
  113. Goo HW. Volumetric severity assessment of Ebstein anomaly using three-dimensional cardiac CT: a feasibility study. Cardiovasc Imaging Asia 2019;3:61-67
  114. Tomasian A, Malik S, Shamsa K, Krishnam MS. Congenital heart diseases: post-operative appearance on multi-detector CT-a pictorial essay. Eur Radiol 2009;19:2941-2949
  115. Beerbaum P, Valverde I, Greil GF, Babu-Narayan SV. Chapter 17. Baffles and conduits. In: Fogel MA, ed. Principles and practice of cardiac magnetic resonance in congenital heart disease, 1st ed. New Jersey: Wiley-Blackwell, 2010:316-344
  116. Eichhorn JG, Jourdan C, Hill SL, Raman SV, Cheatham JP, Long FR. CT of pediatric vascular stents used to treat congenital heart disease. AJR Am J Roentgenol 2008;190:1241-1246
  117. Yoo SJ, Saito M, Hussein N, Golding F, Goo HW, Lee W, et al. Systematic approach to malalignment type ventricular septal defects. J Am Heart Assoc 2020;9:e018275