The Short Cut Strategies in Diagnostic Approach For Rare Congenital Heart Diseases Using MRI , Demonstrated By Ten Selected Cases of Our Experience at Bangkok Heart Hospital.

Main Article Content

Lertlak Chaothawee, MD


Almost congenital heart diseases (CHD) are difficult to diagnose especially in rarediseases. Occasionally, the diagnosis of a rare congenital heart disease must occur onfirst sight. Although there are many superb diagnostic tools such as 3D echocardiography,Multi-Detector Computed Tomography (MDCT) and Magnetic Resonance Imaging(MRI) which can provide more information on CHD, the lack of experience of thecardiac imaging operator observing some rare congenital heart diseases may cause anincomplete or a missing diagnosis. This article will share the experiences of conceptualstrategies for protocol preparation to obtain the key images to diagnose rare congenitalheart disease that can be practiced for routine work or even in the first recognitionusing MRI through the demonstration of ten selected cases of our experience at BangkokHeart Hospital.


Download data is not yet available.

Article Details

How to Cite
Chaothawee L. The Short Cut Strategies in Diagnostic Approach For Rare Congenital Heart Diseases Using MRI , Demonstrated By Ten Selected Cases of Our Experience at Bangkok Heart Hospital. BKK Med J [Internet]. 2016 Sep. 20 [cited 2023 Dec. 7];12(1):67. Available from:
Case Report


1. Fogel MA. Principles and practice of cardiac Magnetic Resonance in congenital heart disease: Form, Function and flow. Blackwell Publishing. 2010:93-123.
2. Anderson RH, Shairali G. Sequential segmental analysis.Ann Pediatr Cardiol 2009;2(1):24-35.
3. Joffe DC, Rivo J, Oxorn DC. Coronary sinus atrial septal defect. Anesth Analg 2008;107(4):1163-5.
4. Martin SS, Shapiro EP, Mukherjee M. Atrial septal defects - clinical manifestations, echo assessment, and in tervention. Clin Med Insights Cardiol 2014;8 (Suppl 1):93-8.
5. Ramos N, Fernandez-Pineda L, Tamariz-Martel A, et al. Absent right superior vena cava with left superior vena cava draining to an unroofed coronary sinus. Rev Esp Cardiol 2005;58(8):984-7.
6. Alpendurada F, Wage R, Mohiaddin R. Evaluation of a sinus venosus atrial septal defect by magnetic resonance: a case report. Rev Port Cardiol 2008;27(10):1317-21.
7. Chen CA, Wang JK, Hsu JY, et al. Diagnosis of inferior sinus venosus atrial septal defects using transthoracic three-dimensional echocardiography. J Am Soc Echocar- diogr 2010;23(4):457.e4-6.
8. Sevimli S, Gundogdu F, Aksakal E, et al. A rare congenital anomaly: bilateral appendage aneurysm with atrial and ventricular septal defect. Echocardiography 2007;24: 987-90.
9. Desjardins B, Kazerooni EA. ECG gated cardiac CT review. AJR 2004;182:993-1010.
10. Padfield GJ. A case of coronary cameral fistula. Eur J Echocardiogr 2009;10(5):718-20.
11. Cemri M, Sahinarslan A, Akinci S, et al. Dual coronary artery-pulmonary artery fistulas. Can J Cardiol 2009; 25 (3):e95.
12. Perloff JK. The Clinical Recognition of Congenital Heart Disease. 5th ed. Philadelphia, Pa: WB Saunders; 2003
13. Giuliani ER, Fuster V, Brandenburg RO, et al. Ebstein’s anomaly: the clinical features and natural history of Ebstein’s anomaly of the tricuspid valve. Mayo Clin Proc 1979;54:163-73.
14. Muñoz-Castellanos L, Espinola-Zavaleta N, Kuri-Nivón M, et al. Ebstein’s Anomaly: anatomo-echocardiographic correlation. Cardiovasc Ultrasound 2007;23:5-43.
15. Edwards WD. Embryology and pathologic features of Eb- stein’s anomaly. Prog Pediatr Cardiol 1993; 2:5-15.
16. Demirkol S, Gurkan Yesil F, Bozlar U, et al. Multimodality imaging of a congenital Gerbode defect. Kardiol Pol 2013;71:104.
17. Matt P, Winkler B, Gutmann M, et al. Acquired Gerbode defect after endocarditis. Eur J Cardiothorac Surg 2009;36:402.
18. Amirghofran AA, Emaminia A. Left ventricular-right atrial communication (Gerbode-type defect) following mitral valve replacement. J Card Surg 2009;24:474-6.
19. Jacob JP, Burke RP, Quintessenza JA, Congenital Heart Surgery Nomenclature and data base project : ven- tricular septal defect. Ann Thorac Surg 2000;69(suppl): 525-35.
20. Erdoğan M, Karakaş P, Uygur F, et al. Persistent left su- perior vena cava: The anatomical and surgical impor- tance. West Indian Med J 2007;56:72-6.
21. Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol 2002;39(12):1890-900.
22. Collison SP, Dagar KS, Kaushal SK, Coronary ar- tery fistulas in pulmonary atresia and ventricular septal defect. Asian Cardiovasc Thorac Ann 2008;16(1):29-32