Eisenmenger’s syndrome MRI

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-In-Chief: Priyamavada Singh, MBBS [2], Kristin Feeney, B.S. [3], Abdelrahman Ibrahim Abushouk, MD[4]

Overview

Magnetic resonance imaging can be helpful as a diagnostic tool in conditions where the echocardiographic findings are inconclusive. The following can be observed on MRI examination of Eisenmenger's syndrome patients: Magnitude and direction of the cardiac shunt, reduced systolic function of the cardiac ventricles, and brain diffusion changes on brain MRI.

MRI

Advantages

MRI has the following advantages in the evaluation of adult congenital cardiac disease[1].

Disadvantages

  • For successful MRI, breath holding is required, which is sometimes difficult to achieve with children.
  • Therefore, the procedure is done under general anesthesia in children.

Findings

The following can be observed on MRI examination of Eisenmenger's syndrome patients[1][2]:

References

  1. 1.0 1.1 Babu-Narayan SV, Gatzoulis MA, Kilner PJ (2007). "Non-invasive imaging in adult congenital heart disease using cardiovascular magnetic resonance". J Cardiovasc Med (Hagerstown). 8 (1): 23–9. doi:10.2459/01.JCM.0000247431.74699.9c. PMID 17255812.
  2. Dogan F, Sen Dokumaci D, Yildirim A, Bozdogan E, Boyaci FN, Koca B; et al. (2016). "Brain diffusion changes in Eisenmenger syndrome". Br J Radiol. 89 (1068): 20151007. doi:10.1259/bjr.20151007. PMC 5604901. PMID 27767324.



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