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Table 3 Rate of correct identification/exclusion of residual structural defects with 3D-self-navigated CMR

From: Single centre experience of the application of self navigated 3D whole heart cardiovascular magnetic resonance for the assessment of cardiac anatomy in congenital heart disease

 

N

Observer 1

Observer 2

Tetralogy of Fallot

19

19 (100 %)

18 (94.7 %)a

D-transposition of the great arteries

13

13 (100 %)

13 (100 %)

Fontan circulation

3

2 (66.7 %)b

2 (66.7 %)b

Syndromes associated with aortic dilatation

20

20 (100 %)

20 (100 %)

Coarctation of the aorta

7

6 (85.7 %)c

7 (100 %)

Ross operation

6

6 (100 %)

5 (83.3 %)d

Septum defects and abnormal venous returns

13

12 (92.3 %)e

11 (84.6 %)f, g

Other complex malformations

12

10 (83.3 %)h, i

10 (83.3 %)j, i

Other non-complex malformations

12

12 (100 %)

12 (100 %)

All patients

105

100 (95.2 %)

97 (93.3 %)

  1. aCoronary artery abnormality suspected by CMR but not present
  2. bHypoplastic left heart syndrome with mitral atresia described intra-operatively by the surgeon (=reference diagnosis). On the CMR performed 8 years later, no mitral atresia was found. Cine sequences confirmed the presence of a hypoplastic but functional mitral valve
  3. cPatent foramen ovale not recognized
  4. dCoronary abnormality (left main stem re-implanted into the non-coronary sinus after Ross operation) not described by CMR
  5. eOstium secundum atrial septal defect not recognized
  6. fDescription of a RV outflow tract aneurysm that was not present
  7. gNon-restrictive ventricular septal defect diagnosed by echocardiography, not recognized
  8. hModified Blalock-Taussig shunt not described on CMR
  9. iUn-operated pulmonary valve described as atretic on echocardiography but considered as severely stenotic valve with hypoplastic pulmonary arteries on CMR
  10. jOperated double outlet RV of Fallot type described as operated tetralogy of Fallot