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Volume 13 Issue 12 (December) 2024

Original Articles

To Assess the Relative Role of CTin The Evaluation of Congenital Heart Disease, and Compare Them with Echocardiography
Dr. Anita Dhayal, Dr. Kirti Rana

Aim: The aim of the present study was to assess the relative role of CT in the evaluation of congenital heart disease, and compare them with echocardiography. Methods: This retrospective study included 62 consecutive patients with CHD who underwent cardiac CT scans between December 2015 and July 2017 at Dr. S. N. Medical Collage and Associated Hospitals, Jodhpur, Rajasthan. The procedure was explained to the patient / attendant and informed consent was taken. Detail history for contraindication of CT was specifically taken. Results: In our study, the most common age group of presentation of congenital heart disease in 62 patients was >6-12-year age group (32.26%), followed by >1-6 month (19.35%), >1-6year (17.74%) and < 1 month age group (16.13%). The most common symptom observed in 62 patients was recurrent chest infection (66%) followed by rapid and shortness of breathing (50-55%). On general physical examination most, common signs observed in 62 patients were cyanosis (38%) and clubbing (14%). Cardiac CT of 62 patients with congenital heart disease revealed that 93.55% patients (58) had normal Situs (Situs solitus), one patient (1.61%) had Situs Inversus and three patients (4.84%) had Situs ambiguous. Analysis of 62 patients with congenital heart disease on cardiac CT revealed that 33.87% (21) patients arch of aorta and branching pattern anomalies. One patient (1.61%) had left predominant double aortic arch, 2 patients (3.23%) had left sided arch with bovine branching pattern and right sided aortic arch with mirror image branching pattern is seen in 6 patients (9.68%). Conclusion: Hence our study shows that MDCT is useful not only as a non-invasive alternative to conventional angiography, but it can also serve as an accurate alternative to MRI if done using low dose protocols and in conjunction with echocardiography for functional assessment specially in low resource institutions.

 
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