RESUMEN
Objective To analyse the pathologic changes and MRI appearances of mitrial atresia (MA). Methods MRI appearances of 5 cases with MA confirmed by operation were reviewed and compared with angiocardiography (CAG). Results MRI demonstrated the pathologic characteristics of three types of MA according to the traditional classification:biventricular hearts with imperforate mitral valve (1 case),univentricular heart of right ventricular type with absent left atrioventricular connection (3 cases) and univentricular heart of left ventricular type with imperforate mitral valve (1 case).MRI still provided anatomic information of associated anomalies including mainly aneurysms of atrial septum (1 case),total anomalous pulmonary venous drainge into superior vena cava (1 case),absent left pulmonary artery (1 case) and pulmonary stenosis (4 cases). The right atrial and(or) ventricular angiocardiograms in the 5 cases could not display the anatomic morphology of the malformation,with exception of one case only. Conclusion MRI is valuable in diagnosis of MA.
RESUMEN
Objective To evaluate the MRI diagnostic value for truncus arteriosus, and to improve the non invasive diagnostic level. Methods Twelve cases of truncus arteriosus were examined by X ray, Ultracardiography, and MRI, and all were confirmed by cardioangiography (CAG). Among them, 6 cases were confirmed by operation. Results Truncus arteriosus was classified and diagnosed accurately by MRI in 10 cases, and MR could show the intracardic structure and the site at which the pulmonary artery originated from truncus arteriosus. Conclusion MRI had the definite applied value, and could remedy the shortcoming of echocardiography on the classification and diagnosis of truncus arteriosus. The combined usage of MRI and echocardiography could improve the clinical non invasive diagnostic level of truncus arteriosus.
RESUMEN
Objective To evaluate the clinical efficacy of transthoracic two dimensional echocardiography, cardioangiography (CAG), and MRI in the diagnosis of cor triatriatum. Methods Twelve cases of cor triatriatum were confirmed by operation. Imaging examination was performed in 12 cases by transthoracic two dimensional echocardiography, 6 cases by CAG, and 8 cases by MRI. Results The diagnostic accuracy of cor triatriatum was 7 out of 12 by UCG, 4 out of 6 by CAG, and 8 out of 8 by MRI, respectively. MRI provided excellent delineation of the intraatrial membrane and the size of the membrane orifice. Conclusion MRI was of great value in the diagnosis of cor triatriatum.