TY - JOUR
T1 - Left ventricular ischemia after arterial switch procedure: Role of myocardial perfusion scintigraphy and cardiac CT
AU - Bernsen, Marie Louise E.
AU - Koppes, Josephina C. C.
AU - Straver, Bart
AU - Verberne, Hein J.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Transposition of the great arteries is a congenital heart defect defined by an abnormal connection between the aorta, pulmonary artery, and the ventricles, resulting in parallel systemic and pulmonary circulations. Long-term follow-up data of patients who underwent correction via an arterial switch operation have recently shown that as a result of re-implantation of the coronary arteries in the neo-aorta, coronary stenosis and occlusion are relatively common complications. In this report, we discuss two cases illustrating the added value of myocardial perfusion imaging (MPI) and cardiac CT for the assessment of these patients. Based on the available literature we conclude that MPI and cardiac CT are excellent non-invasive methods to evaluate coronary anatomy and myocardial function also in this specific group of patients.
AB - Transposition of the great arteries is a congenital heart defect defined by an abnormal connection between the aorta, pulmonary artery, and the ventricles, resulting in parallel systemic and pulmonary circulations. Long-term follow-up data of patients who underwent correction via an arterial switch operation have recently shown that as a result of re-implantation of the coronary arteries in the neo-aorta, coronary stenosis and occlusion are relatively common complications. In this report, we discuss two cases illustrating the added value of myocardial perfusion imaging (MPI) and cardiac CT for the assessment of these patients. Based on the available literature we conclude that MPI and cardiac CT are excellent non-invasive methods to evaluate coronary anatomy and myocardial function also in this specific group of patients.
KW - CT
KW - Gated SPECT
KW - Myocardial ischemia and infarction
KW - SPECT
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85066899248&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/31119712
UR - http://www.scopus.com/inward/record.url?scp=85066899248&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s12350-019-01738-4
DO - https://doi.org/10.1007/s12350-019-01738-4
M3 - Article
C2 - 31119712
SN - 1071-3581
VL - 27
SP - 651
EP - 658
JO - Journal of Nuclear Cardiology
JF - Journal of Nuclear Cardiology
IS - 2
ER -