Interventional Cardiovascular Magnetic Resonance Imaging (iCMR) in an Adolescent with Pulmonary Hypertension.
Surendranath R Veeram ReddyYousef M ArarTarique HussainGerald GreilLuis ZabalaBibhuti B DasPublished in: Medicina (Kaunas, Lithuania) (2020)
The interventional cardiac magnetic resonance imaging (iCMR) catheterization procedure is feasible and safe for children and adults with pulmonary hypertension and congenital heart defects (CHD). With iCMR, the calculation of pulmonary vascular resistance (PVR) in children with complex CHD with multilevel shunt lesions is accurate. In this paper, we describe the role of the MRI-guided right-sided cardiac catheterization procedure to accurately estimate PVR in the setting of multiple shunt lesions (ventricular septal defect and patent ductus arteriosus) and to address the clinical question of operability in an adolescent with trisomy 21 and severe pulmonary hypertension.
Keyphrases
- pulmonary hypertension
- pulmonary artery
- magnetic resonance imaging
- young adults
- pulmonary arterial hypertension
- left ventricular
- contrast enhanced
- mental health
- computed tomography
- minimally invasive
- ultrasound guided
- heart failure
- diffusion weighted imaging
- coronary artery
- early onset
- childhood cancer
- magnetic resonance
- mass spectrometry
- catheter ablation