caa a22 4500 445824166 CHVBK 20180317145254.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00246-011-9958-z doi (NATIONALLICENCE)springer-10.1007/s00246-011-9958-z Gadolinium-Enhanced Three-Dimensional Magnetic Resonance Angiographic Assessment of the Pulmonary Artery Anatomy in Cyanotic Congenital Heart Disease With Pulmonary Stenosis or Atresia: Comparison With Cineangiography [Elektronische Daten] [B. Srinivas, A. Patnaik, D. Rao] Pulmonary stenosis (PS) or pulmonary atresia (PA) is an important component of complex cyanotic congenital heart disease, especially in tetrology of Fallot or lesions with ventricular septal defect (VSD)-PS physiology. Management strategy in these patients depends on accurate assessment of PAs and identification of all sources of pulmonary blood flow. X-ray cineangiography is the "gold standard” for this purpose, but it has the inherent risks of an invasive procedure. Gadolinium-enhanced three-dimensional magnetic resonance angiography (Gd-MRA) has been shown to noninvasively and accurately evaluate various lesions of the vascular system. This study was undertaken to evaluate the accuracy of Gd-MRA compared with cineangiography in the evaluation of pulmonary anatomy. Nineteen patients having complex cyanotic heart disease with PS or PA were included in the study. All patients underwent Gd-MRA and cineangiography. Catheterisation and MRA findings regarding the anatomic variable of interest were analysed for agreement by Bland-Altman analysis. There was total agreement between the two modalities in the delineation of confluent PAs. McGoon's ratio and the Nakata index, which are standard measures of the adequacy of PA size, also showed excellent agreement between the two modalities. MRA was able to delineate all aorto-pulmonary collaterals in the setting of PA. MRA can delineate all sources of pulmonary blood supply in cyanotic congenital heart disease with PS and/or PA as well as provide accurate assessment of PA size for planning corrective surgery. Springer Science+Business Media, LLC, 2011 Gd-MRA nationallicence Cine angiography nationallicence Cyanotic CHD with PS/PA nationallicence Srinivas B. Department of Cardiology, Nizam's Institute of Medical Sciences, 82, Hyderabad, India aut Patnaik A. Department of Cardiology, Nizam's Institute of Medical Sciences, 82, Hyderabad, India aut Rao D. Department of Cardiology, Nizam's Institute of Medical Sciences, 82, Hyderabad, India aut Pediatric Cardiology Springer-Verlag 32/6(2011-08-01), 737-742 0172-0643 32:6<737 2011 32 246 https://doi.org/10.1007/s00246-011-9958-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00246-011-9958-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Srinivas B. Department of Cardiology, Nizam's Institute of Medical Sciences, 82, Hyderabad, India aut NATIONALLICENCE 700 1- Patnaik A. Department of Cardiology, Nizam's Institute of Medical Sciences, 82, Hyderabad, India aut NATIONALLICENCE 700 1- Rao D. Department of Cardiology, Nizam's Institute of Medical Sciences, 82, Hyderabad, India aut NATIONALLICENCE 773 0- Pediatric Cardiology Springer-Verlag 32/6(2011-08-01), 737-742 0172-0643 32:6<737 2011 32 246 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer