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Pediatric Radiology
Erschienen in: Pediatric Radiology 13/2022

24.09.2022 | Minisymposium: Pediatric cardiovascular CT

Computed tomography for aortic assessment in children

verfasst von: Lindsay M. Griffin

Erschienen in: Pediatric Radiology | Ausgabe 13/2022

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Abstract

Because the aorta is the major vessel of the body, basic knowledge of aortic pathology is essential to the pediatric imager. This review divides aortic pathology into anatomical (e.g., congenital abnormalities) and acquired (e.g., vasculitis, trauma) entities, providing a brief description of pathology, technical considerations in CT acquisition and processing, and some pearls and pitfalls of interpretation. The objective of this paper is to familiarize general pediatric imagers with imaging features of common as well as high-impact aortic pathology on CT and prepare them for acquisition and reporting.
Literatur
1.
Kaufman JA, Lee MJ (2014) Vascular and interventional radiology. Saunders, Philadelphia
2.
Barron DJ, Kilby MD, Davies B et al (2009) Hypoplastic left heart syndrome. Lancet 374:551–564PubMedCrossRef
3.
Langley SM, Sunstrom RE, Reed RD et al (2013) The neonatal hypoplastic aortic arch: decisions and more decisions. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 16:43–51PubMedCrossRef
4.
Landeras LA, Chung JH (2019) Congenital thoracic aortic disease. Radiol Clin N Am 57:113–125PubMedCrossRef
5.
Friedman K (2018) Preoperative physiology, imaging, and management of interrupted aortic arch. Semin Cardiothorac Vasc Anesth 22:265–269PubMedCrossRef
6.
LaPar DJ, Baird CW (2018) Surgical considerations in interrupted aortic arch. Semin Cardiothorac Vasc Anesth 22:278–284PubMedCrossRef
7.
Hanneman K, Newman B, Chan F (2017) Congenital variants and anomalies of the aortic arch. Radiographics 37:32–51PubMedCrossRef
8.
9.
Nance JW, Ringel RE, Fishman EK (2016) Coarctation of the aorta in adolescents and adults: a review of clinical features and CT imaging. J Cardiovasc Comput Tomogr 10:1–12PubMedCrossRef
10.
11.
Colan S (2016) Normal echocardiographic values for cardiovascular structures. John Wiley & Sons, Hoboken
12.
Lazea C, Al-Khzouz C, Sufana C et al (2022) Diagnosis and management of genetic causes of middle aortic syndrome in children: a comprehensive literature review. Ther Clin Risk Manag 18:233–248PubMedPubMedCentralCrossRef
13.
14.
Jadhav SP, Aggarwal V, Masand PM et al (2020) Correlation of ductus arteriosus length and morphology between computed tomographic angiography and catheter angiography and their relation to ductal stent length. Pediatr Radiol 50:800–809PubMedCrossRef
15.
Chamberlain RC, Ezekian JE, Sturgeon GM et al (2020) Preprocedural three-dimensional planning aids in transcatheter ductal stent placement: a single-center experience. Catheter Cardiovasc Interv 95:1141–1148PubMedCrossRef
16.
Kanne JP, Godwin JD (2010) Right aortic arch and its variants. J Cardiovasc Comput Tomogr 4:293–300PubMedCrossRef
17.
Backer CL, Mongé MC, Popescu AR et al (2016) Vascular rings. Semin Pediatr Surg 25:165–175PubMedCrossRef
18.
Yoo SJ, Min JY, Lee YH et al (2003) Fetal sonographic diagnosis of aortic arch anomalies. Ultrasound Obstet Gynecol 22:535–546PubMedCrossRef
19.
Esmonde N, Jedrzejewski B, Fitzpatrick B et al (2019) Feed and swaddle: an alternative to infant sedation for craniofacial imaging. Cleft Palate Craniofac J 56:1373–1376PubMedCrossRef
20.
Shariat M, Mertens L, Seed M et al (2015) Utility of feed-and-sleep cardiovascular magnetic resonance in young infants with complex cardiovascular disease. Pediatr Cardiol 36:809–812PubMedCrossRef
21.
Nagayama Y, Oda S, Nakaura T et al (2018) Radiation dose reduction at pediatric CT: use of low tube voltage and iterative reconstruction. Radiographics 38:1421–1440PubMedCrossRef
22.
Schicchi N, Fogante M, Esposto Pirani P et al (2019) Third-generation dual-source dual-energy CT in pediatric congenital heart disease patients: state-of-the-art. Radiol Med 124:1238–1252PubMedCrossRef
23.
24.
Secinaro A, Curione D, Mortensen KH et al (2019) Dual-source computed tomography coronary artery imaging in children. Pediatr Radiol 49:1823–1839PubMedCrossRef
25.
Zhang W, Bogale S, Golriz F, Krishnamurthy R (2017) Relationship between heart rate and quiescent interval of the cardiac cycle in children using MRI. Pediatr Radiol 47:1588–1593PubMedCrossRef
26.
Shalhub S, Wallace S, Okunbor O, Newhall K (2021) Genetic aortic disease epidemiology, management principles, and disparities in care. Semin Vasc Surg 34:79–88PubMedCrossRef
27.
28.
Meester JAN, Verstraeten A, Schepers D et al (2017) Differences in manifestations of Marfan syndrome, Ehlers–Danlos syndrome, and Loeys–Dietz syndrome. Ann Cardiothorac Surg 6:582–594PubMedPubMedCentralCrossRef
29.
30.
31.
32.
Jost CJ, Gloviczki P, Edwards WD et al (2001) Aortic aneurysms in children and young adults with tuberous sclerosis: report of two cases and review of the literature. J Vasc Surg 33:639–642PubMedCrossRef
33.
Egbe AC, Crestanello J, Miranda WR, Connolly HM (2019) Thoracic aortic dissection in tetralogy of Fallot: a review of the national inpatient sample database. J Am Heart Assoc 8:e011943PubMedPubMedCentralCrossRef
34.
Bichell DP (2021) Autograft root dilation after the ross procedure is not benign. World J Pediatr Congenit Heart Surg 12:516–517PubMedCrossRef
35.
Fikar CR (2006) Acute aortic dissection in children and adolescents: diagnostic and after-event follow-up obligation to the patient and family. Clin Cardiol 29:383–386PubMedCrossRef
36.
Carlson M, Airhart N, Lopez L, Silberbach M (2012) Moderate aortic enlargement and bicuspid aortic valve are associated with aortic dissection in Turner syndrome: report of the International Turner Syndrome Aortic Dissection Registry. Circulation 126:2220–2226PubMedCrossRef
37.
Zalzstein E, Hamilton R, Zucker N et al (2003) Aortic dissection in children and young adults: diagnosis, patients at risk, and outcomes. Cardiol Young 13:341–344PubMedCrossRef
38.
Abd El-Shafy I, Rosen LM, Prince JM et al (2018) Blunt traumatic scapular fractures are associated with great vessel injuries in children. J Trauma Acute Care Surg 85:932–935PubMedCrossRef
39.
Gouveia EMR, Amorim P, Soares TR et al (2020) Clinical aspects and present challenges of the seat belt aorta. J Vasc Surg 72:995–1004CrossRef
40.
Van Hedent S, Tatsuoka C, Carr S et al (2020) Impact of patient size and radiation dose on accuracy and precision of iodine quantification and virtual noncontrast values in dual-layer detector CT — a phantom study. Acad Radiol 27:409–420PubMedCrossRef
41.
42.
Kalisz K, Buethe J, Saboo SS et al (2016) Artifacts at cardiac CT: physics and solutions. Radiographics 36:2064–2083PubMedCrossRef
43.
Bayindir P, Bayraktaroglu S, Ceylan N et al (2016) Multidetector computed tomographic assessment of the normal diameters for the thoracic aorta and pulmonary arteries in infants and children. Acta Radiol 57:1261–1267PubMedCrossRef
44.
Hegde SV, Lensing SY, Greenberg SB (2015) Determining the normal aorta size in children. Radiology 274:859–865PubMedCrossRef
45.
Kaiser T, Kellenberger CJ, Albisetti M et al (2008) Normal values for aortic diameters in children and adolescents — assessment in vivo by contrast-enhanced CMR-angiography. J Cardiovasc Magn Reson 10:56
46.
Kawel-Boehm N, Hetzel SJ, Ambale-Venkatesh B et al (2020) Reference ranges ("normal values") for cardiovascular magnetic resonance (CMR) in adults and children: 2020 update. J Cardiovasc Magn Reson 22:87PubMedPubMedCentralCrossRef
47.
Kocher MR, Waltz J, Collins H et al (2022) Normative values of pediatric thoracic aortic diameters indexed to body surface area using computed tomography. J Thorac Imaging 37:231–238PubMedCrossRef
48.
Inno G, Takahashi Y, Kato Y, Sasaki Y (2018) Aortic root remodeling in a patient with Turner syndrome using the reference curves of aortic diameters in children. Gen Thorac Cardiovasc Surg 66:667–670PubMedCrossRef
49.
Matura LA, Ho VB, Rosing DR, Bondy CA (2007) Aortic dilatation and dissection in Turner syndrome. Circulation 116:1663–1670PubMedCrossRef
50.
Mahgerefteh J, Lai W, Colan S et al (2021) Height versus body surface area to normalize cardiovascular measurements in children using the Pediatric Heart Network Echocardiographic Z-score Database. Pediatr Cardiol 42:1284–1292PubMedPubMedCentralCrossRef
51.
Rutten DWE, Aarts-Janssen IJH, Kempers MJE et al (2021) Comparability of different z-score equations for aortic root dimensions in children with Marfan syndrome. Cardiol Young 31:1962–1968PubMedCrossRef
52.
Granata C, Damasio MB, Zaottini F et al (2017) Imaging of childhood vasculitis. Radiol Clin N Am 55:1131–1143PubMedCrossRef
53.
Khanna G, Sargar K, Baszis KW (2015) Pediatric vasculitis: recognizing multisystemic manifestations at body imaging. Radiographics 35:849–865PubMedCrossRef
54.
Lee WK, Mossop PJ, Little AF et al (2008) Infected (mycotic) aneurysms: spectrum of imaging appearances and management. Radiographics 28:1853–1868PubMedCrossRef
55.
Schwartz SB, Fisher D, Reinus C, Shahroor S (2011) Infectious aortitis: a rare cause of chest pain in a child. Pediatr Emerg Care 27:654–656PubMedCrossRef
56.
Bossone E, Pluchinotta FR, Andreas M et al (2016) Aortitis. Vasc Pharmacol 80:1–10CrossRef
57.
Pugh D, Grayson P, Basu N, Dhaun N (2021) Aortitis: recent advances, current concepts and future possibilities. Heart 107:1620–1629PubMedCrossRef
58.
59.
Huang YK, Lin CC, Lin HS (2015) Peritonitis as presentation of aorto-caval fistula with salmonella choleraesuis-associated abdominal aortic aneurysm. Surg Infect 16:108–109CrossRef
60.
Dejaco C, Ramiro S, Duftner C et al (2018) EULAR recommendations for the use of imaging in large vessel vasculitis in clinical practice. Ann Rheum Dis 77:636–643PubMedCrossRef
61.
Yamada I, Nakagawa T, Himeno Y et al (1998) Takayasu arteritis: evaluation of the thoracic aorta with CT angiography. Radiology 209:103–109PubMedCrossRef
Metadaten
Titel
Computed tomography for aortic assessment in children
verfasst von
Lindsay M. Griffin
Publikationsdatum
24.09.2022
Verlag
Springer Berlin Heidelberg
Erschienen in
Pediatric Radiology / Ausgabe 13/2022
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-022-05501-9

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