Congenital Heart Disease Morphological and Functional Assessment Hideaki Senzaki Satoshi Yasukochi Editors 123 Congenital Heart Disease Hideaki Senzaki • Satoshi Yasukochi Editors Congenital Heart Disease Morphological and Functional Assessment Editors HideakiSenzaki SatoshiYasukochi DepartmentofPediatricCardiology HeartCenter/PediatricCardiology SaitamaMedicalCenter NaganoChildren’sHospital SaitamaMedicalUniversity Azumino,Japan Kawagoe,Japan ISBN978-4-431-54354-1 ISBN978-4-431-54355-8(eBook) DOI10.1007/978-4-431-54355-8 SpringerTokyoHeidelbergNewYorkDordrechtLondon LibraryofCongressControlNumber:2014958569 ©SpringerJapan2015 Thisworkissubjecttocopyright.AllrightsarereservedbythePublisher,whetherthewholeorpart of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation,broadcasting,reproductiononmicrofilmsorinanyotherphysicalway,andtransmissionor informationstorageandretrieval,electronicadaptation,computersoftware,orbysimilarordissimilar methodologynowknownorhereafterdeveloped.Exemptedfromthislegalreservationarebriefexcerpts inconnectionwithreviewsorscholarlyanalysisormaterialsuppliedspecificallyforthepurposeofbeing enteredandexecutedonacomputersystem,forexclusiveusebythepurchaserofthework.Duplication ofthispublicationorpartsthereofispermittedonlyundertheprovisionsoftheCopyrightLawofthe Publisher’s location, in its current version, and permission for use must always be obtained from Springer.PermissionsforusemaybeobtainedthroughRightsLinkattheCopyrightClearanceCenter. 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Printedonacid-freepaper SpringerispartofSpringerScience+BusinessMedia(www.springer.com) Preface Anatomicalormorphologicalabnormalitiesincongenitalheartdisease(CHD)are generallyaccompaniedbyabnormalloadingconditions,whichinturncausefunc- tional ventricular and vascular impairments that may also exist independently of anatomicalabnormalities,however.Interactionsbetweenmorphologicalandfunc- tionalabnormalitiesareimportantdeterminantsofunderlyingpathophysiologyand cause clinical symptoms in CHD. Therefore, detailed and precise assessment of morphology and function is essential to better understand and treat this disease. Recent advances in technology have provided useful tools for this purpose, and novelfindingsareaccumulating. Thisbook,entitledCongenitalHeartDisease:MorphologicalandFunctional Assessment, comprehensively covers the latest information about ventricular– vascularmorphologyandfunctioninCHD,asevaluatedbynumerousinnovative methodologies,includingechocardiography,magneticresonanceimaging(MRI), computedtomography(CT),andcardiaccatheterization. In Chaps. 1–4 (Part I), the concept of morphological assessment by three- dimensionalechocardiography,MRI,andhigh-resolutionmulti-sliceCTscanning is introduced by world-leading Japanese experts. Chapters 1 and 2 describe echo- cardiographicassessment,usingvariousdifferentapproaches,ofintra-cardiacanat- omy, with particular focus on valvular anatomy, in detail. Three-dimensional CT andMRIarehighlyusefultoolsforassessingextra-andintra-cardiacstructuresand theiranatomicalrelationships,asoutlinedinChaps.3and4.InChaps.5–8(PartII), newfrontiersintheassessmentofcardiovascularfunctioninCHDarepresentedby world-renownedexpertsinthefield.Whilecardiaccatheterizationprovidesdetailed information about cardiovascular function based on pressure measurements, as discussed in Chaps. 5 and 6, echocardiography and MRI provide detailed flow- basedaswellasmyocardialmotion-basedinformationoncardiovascularfunction, asdescribedinChaps.7and8. The information contained in each chapter will provide researchers and clini- cians with invaluable knowledge of this field, and should help to deepen their understanding of CHD. It is my great honor to edit this book with my respected v vi Preface friend, Dr. Satoshi Yasukochi, and to invite world-leading Japanese pediatric cardiologistsasauthorsforeachchapter. Finally,asatokenofaffectionandgratitude,Idedicatethisbooktomyfather, Dr. Mamoru Senzaki, who died peacefully on April 6th, 2012, surrounded by his family.Arigatou,Otousan. Kawagoe,Japan HideakiSenzaki May20,2014 Contents PartI MorphologicalAssessmentofCongenitalHeartDisease 1 Real-TimeThree-Dimensional(3D)Echocardiography forDiagnosisandTreatmentofCongenitalHeartDiseases inPracticalMedicine:TransepicardialandTransesophageal Approach. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 KiyohiroTakigiku 2 AssessmentofAtrioventricularValveAnatomyandFunction inCongenitalHeartDiseasesUsingThree-Dimensional Echocardiography.. . . .. . . .. . . .. . . .. . . .. . . . .. . . .. . . .. . . .. 21 MasakiNii 3 AssessmentofIntracardiacAnatomybyMagnetic ResonanceImaging. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 SatoshiYasukochi 4 AssessmentofExtracardiacandIntracardiacAnatomy byMD-CT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 KenjiWaki PartII FunctionalAssessmentofCongenitalHeartDisease 5 AssessmentofVentricularFunctionUsingthePressure-Volume Relationship. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 SatoshiMasutaniandHideakiSenzaki 6 AssessmentofVascularFunctionbyUsingCardiac Catheterization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 HirofumiSaikiandHideakiSenzaki vii viii Contents 7 AssessmentofVentricular-VascularFunction byEchocardiography. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143 ManatomoToyono 8 AssessmentofHemodynamicsbyMagnetic ResonanceImaging. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 MasayaSugimoto Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205 Part I Morphological Assessment of Congenital Heart Disease
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