Abstract
Patients with respiratory and/or cardiac failure occasionally require the use of extracorporeal membrane oxygenation (ECMO), which presents an obstacle for standard imaging modalities. Computed tomographic angiography (CTA) can be used in patients with congenital heart disease, usually to define extra-cardiac anatomy in the chest. We describe the use of CTA to evaluate two infants with congenital heart disease while on ECMO. The first infant had totally anomalous pulmonary venous connection, and the second had a pulmonary sling that resulted in tracheal stenosis. The studies achieved high diagnostic quality with minimal radiation exposure. Subsequently, both infants had successful surgical repairs.
MeSH terms
-
Coronary Angiography / instrumentation
-
Coronary Angiography / methods*
-
Coronary Vessel Anomalies / diagnosis
-
Coronary Vessel Anomalies / diagnostic imaging
-
Coronary Vessel Anomalies / surgery
-
Extracorporeal Membrane Oxygenation*
-
Heart Defects, Congenital / diagnostic imaging*
-
Heart Defects, Congenital / surgery
-
Heart Defects, Congenital / therapy
-
Humans
-
Infant
-
Infant, Newborn
-
Male
-
Pulmonary Artery / surgery
-
Pulmonary Veins / abnormalities
-
Pulmonary Veins / diagnostic imaging*
-
Pulmonary Veins / surgery
-
Respiratory Insufficiency / etiology
-
Respiratory Insufficiency / therapy
-
Tomography, X-Ray Computed / instrumentation
-
Tomography, X-Ray Computed / methods*
-
Tracheal Stenosis / diagnostic imaging
-
Tracheal Stenosis / etiology
-
Tracheal Stenosis / surgery
-
Vena Cava, Superior / abnormalities
-
Vena Cava, Superior / surgery