Role of ECG gated Multi Detector Computed Tomography in Diagnosis of Congenital Heart Diseases in pediatrics

Abstract

Echocardiography considered the first line in diagnosis of congenital heart anomalies with some limitation in assessment of extra cardiac great vessels anomalies, catheterization angiography considered the gold stander but have invasive nature. Non-invasive ECG gated MDCT angiography can be complementary to the cardiac Echo and replaced the invasive catheterization and the non-invasive cardiac MRI when it use contraindicated. In our study the role of ECG gated Multi-detector CT angiography in the evaluation of congenital heart and extra cradiac great vessels anomalies was assessed, it enrolled 40 patients (21 males and 19 females) with an age range between 30 days - 12 years (mean age25 months and 26 months for male and female. This study included 26 patients with congenital heart anomalies, 10 patients with extracardiac great vessels anomalies and 4 patients postoperative for follow up. All patients included in this study were initially examined by echocardiography and MSCT angiography. In conclusion we find that MDCT angiography either with ECG gating or not very helpful in assessment of cardiac and extra cardiac great vessels anomalies. Keyword: MSCT, ECHO, MDCT, ECG, GATED.