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Best Cases: Congenital Heart Disease
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Discussion
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Video Summary
The discussion covered several congenital heart and vascular imaging cases. Dr. Fateh explained why a double-chambered left ventricle could not be dilated: the membrane was too thick and even small catheters barely crossed it. The family also refused anticoagulation despite sluggish apical flow. Dr. Keelan reported that stent placement nearly normalized blood pressure in a middle aortic syndrome case. Dr. Moore described growing clinical use of 4D flow MRI, mostly at 1.5T with fast post-processing, especially for Fontan and complex congenital patients. Family screening, imaging strategy, and late gadolinium enhancement in double-chambered LV were also discussed.
Keywords
double-chambered left ventricle
middle aortic syndrome
4D flow MRI
Fontan imaging
late gadolinium enhancement
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