TY - JOUR
T1 - Imaging the adult with congenital heart disease
T2 - A multimodality imaging approach - Position paper from the EACVI
AU - 2016–2018 EACVI Scientific Documents Committee
AU - Di Salvo, Giovanni
AU - Miller, Owen
AU - Babu Narayan, Sonya
AU - Li, Wei
AU - Budts, Werner
AU - Valsangiacomo Buechel, Emanuela R.
AU - Frigiola, Alessandra
AU - van den Bosch, Annemien E.
AU - Bonello, Beatrice
AU - Mertens, Luc
AU - Hussain, Mohammad T
AU - Parish, Victoria
AU - Habib, Gilbert
AU - Edvardsen, Thor
AU - Geva, Tal
AU - Baumgartner, Helmut
AU - Gatzoulis, Michael A.
N1 - Funding Information:
1Department of Adult Congenital Heart Disease, National Heart and Lung Institute, Imperial College London, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK; 2Department of Congenital Heart Disease, Evelina London Children’s Hospital, Guy’s and St. Thomas’ NHS Foundation Trust, Westminster Bridge Road, London SE1 7EH, UK; 3Department Cardiovascular Sciences (KU Leuven), Congenital and Structural Cardiology (CSC UZ Leuven), Leuven, Belgium; 4Pediatric Heart Center, University Children’s Hospital Zurich, Steinwiesstrasse 75, 8032 Zurich, Switzerland; 5Adult Congenital Heart Disease, Guy’s and St Thomas’ Hospital, Westminster Bridge Road, London SE1 7EH, UK; 6Department of Cardiology, Erasmus Medical Center, Postbus 2040, 3000 CA Rotterdam, The Netherlands; 7Department of Paediatric Cardiology, Great Ormond Street Hospital, London, UK; 8Division of Cardiology, Labatt Family Heart Centre, Hospital for Sick Children and University of Toronto, SickKids, 555 University Avenue Toronto, Ontario, Canada; 9Division of Imaging Sciences and Biomedical Engineering, King’s College London, London, UK; 10Departments of Paediatrics, University of Texas, Southwestern Medical Center, Dallas, TX, USA; 11Cardiac Department, Eastern Road, Brighton, East Sussex, BN2 5BE, UK; 12APHM, La Timone Hospital, Cardiology Department, Boulevard Jean Moulin, 13005 Marseille, France; 13Department of Cardiology, Sognsvannsveien 20, 0372 Oslo, Norvegia; 14Department of Cardiology, 300 Longwood Avenue, Farley, Boston, 02115 Massachusetts, USA; and 15Albert-Schweitzer Str. 33, 48149 Münster, Germany
Publisher Copyright:
© Published on behalf of the European Society of Cardiology. All rights reserved.
PY - 2018/10/1
Y1 - 2018/10/1
N2 - Advances in the diagnosis and management of congenital heart disease have led to a marked improvement in the survival of adult with congenital heart disease (ACHD) patients. However, ACHD patients are a heterogeneous population, with a large spectrum of anatomic substrates even within specific lesions. In addition, the nature of previous surgery and other intervention is highly variable rendering each patient unique and residual anatomic and haemodynamic abnormalities are very common. As the ACHD population continues to age, acquired heart disease will also require cardiac imaging assessment. It is increasingly recognized in ACHD community that the diagnostic utility of a multimodality cardiovascular approach is greater than the sum of individual tests. In ACHD patients, diagnostic information can be obtained using a variety of diagnostic tools. The aims of this document are to describe the role of each diagnostic modality in the care of ACHD patients and to provide guidelines for a multimodality approach. The goal should be to provide the most appropriate and cost-effective diagnostic pathway for each individual ACHD patient.
AB - Advances in the diagnosis and management of congenital heart disease have led to a marked improvement in the survival of adult with congenital heart disease (ACHD) patients. However, ACHD patients are a heterogeneous population, with a large spectrum of anatomic substrates even within specific lesions. In addition, the nature of previous surgery and other intervention is highly variable rendering each patient unique and residual anatomic and haemodynamic abnormalities are very common. As the ACHD population continues to age, acquired heart disease will also require cardiac imaging assessment. It is increasingly recognized in ACHD community that the diagnostic utility of a multimodality cardiovascular approach is greater than the sum of individual tests. In ACHD patients, diagnostic information can be obtained using a variety of diagnostic tools. The aims of this document are to describe the role of each diagnostic modality in the care of ACHD patients and to provide guidelines for a multimodality approach. The goal should be to provide the most appropriate and cost-effective diagnostic pathway for each individual ACHD patient.
KW - ACHD
KW - cardiac computed tomography
KW - cardiovascular magnetic resonance imaging
KW - echocardiography
KW - multimodality imaging
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U2 - 10.1093/ehjci/jey102
DO - 10.1093/ehjci/jey102
M3 - Article
C2 - 30084968
AN - SCOPUS:85055600222
SN - 2047-2404
VL - 19
SP - 1077
EP - 1098
JO - European Heart Journal Cardiovascular Imaging
JF - European Heart Journal Cardiovascular Imaging
IS - 10
ER -