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2009, Number 4

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Rev Mex Cardiol 2009; 20 (4)

Vann Praagh segmental cardiovascular analysis in congenital heart disease. Magnetic resonance imaging a validation study

Jarquín-Pérez VM, Hernández-González M, Rivera-Lozada A, Solorio S, Murillo-Ortiz BO, Rodríguez-Mariscal L, Olvera A, Cruz-Cervantes R, Teniente-Valente R

Language: Spanish
References: 23
Page: 176-182
PDF size: 263.00 Kb.


ABSTRACT

Objective: To evaluate the magnetic resonance imaging utility in the segmental analysis of the heart and to compare the results with echocardiography, surgery or autopsy finding. Material and methods: Patients with surgical congenital heart disease were included. The echocardiography and magnetic resonance study were done previously to surgical intervention. The anatomical analysis according to Van Praagh was done for two blinded and independent investigators. We analyzed the data using Spearman Correlation and ROC curves (p ‹ 0.05). Results: 23 cases were included, the echocardiogram had a good correlation with the surgery or autopsy findings in situs, heart position, mode and type of AV connection evaluations (p ‹ 0.05), but in the pulmonary and systemic venous drainage the evaluation is poor. The magnetic resonance imaging correlated in all segmental evaluations, is better than the echocardiography method to evaluate the pulmonary and systemic venous drainage anomalies (AUC ROC vs RM 0.83. ECO AUC 0.61, p = 0.03 for the systemic venous drainage and AUC ROC vs RM 0.75. ECO AUC 0.50, P = 0.04 for the pulmonary venous drainage) and is equally useful for the diagnosis of cardiac malformations. Conclusions: We conclude that magnetic resonance imaging is an diagnosis tool useful in the segmental analysis in congenital heart disease, specially in the systemic and pulmonary venous drainage anomalies.


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