MRI Heart Function and Morphology CMR offers a wealth of additional relevant information including valvular function, ventricular function, regional contractility, and myocardial viability, all of which could be important considerations during the preoperative evaluation or postoperative follow-up in patients who undergo surgical repair of coronary artery. MRI Heart Function with Stress Pharmacological stress CMR cine and MPI can be performed to assess the functional relevance of a coronary anomaly [36,39]. Congenital or Acquired Heart Disease Radiography Chest There is no relevant literature to support the use of chest radiography in the evaluation of suspected or confirmed congenital or acquired coronary artery abnormality. SPECT or SPECT/CT MPI Rest and Stress Nuclear cardiac imaging modalities play an important role in assessing myocardial perfusion, thus allowing for assessment of the functional relevance of any acquired coronary artery. SPECT MPI and PET MPI may unmask ischemia in asymptomatic and symptomatic patients with anomalous coronary artery [40]. The panel disagreed on SPECT or SPECT/CT MPI rest and stress to screen for myocardial ischemia as the next imaging study after TEE, although its use was supported by expert opinion in centers with pediatric experience with coronary ischemia. US Echocardiography Transesophageal TEE may be useful to visualize coronary artery anatomy perioperatively when the thoracic window is limited. However, TEE is not useful for routine imaging of AAOCA or Kawasaki disease. MRA Neck There is no relevant literature to support the use of MRA neck in the evaluation of suspected or confirmed congenital or acquired coronary artery abnormality. Variant 5: Child. Known single ventricle physiology. Preoperative evaluation for stage 2 single ventricle palliation. Incomplete or inadequate assessment of cardiovascular morphology and function after transthoracic echocardiography. Next imaging study.
Congenital or Acquired Heart Disease. MRI Heart Function and Morphology CMR offers a wealth of additional relevant information including valvular function, ventricular function, regional contractility, and myocardial viability, all of which could be important considerations during the preoperative evaluation or postoperative follow-up in patients who undergo surgical repair of coronary artery. MRI Heart Function with Stress Pharmacological stress CMR cine and MPI can be performed to assess the functional relevance of a coronary anomaly [36,39]. Congenital or Acquired Heart Disease Radiography Chest There is no relevant literature to support the use of chest radiography in the evaluation of suspected or confirmed congenital or acquired coronary artery abnormality. SPECT or SPECT/CT MPI Rest and Stress Nuclear cardiac imaging modalities play an important role in assessing myocardial perfusion, thus allowing for assessment of the functional relevance of any acquired coronary artery. SPECT MPI and PET MPI may unmask ischemia in asymptomatic and symptomatic patients with anomalous coronary artery [40]. The panel disagreed on SPECT or SPECT/CT MPI rest and stress to screen for myocardial ischemia as the next imaging study after TEE, although its use was supported by expert opinion in centers with pediatric experience with coronary ischemia. US Echocardiography Transesophageal TEE may be useful to visualize coronary artery anatomy perioperatively when the thoracic window is limited. However, TEE is not useful for routine imaging of AAOCA or Kawasaki disease. MRA Neck There is no relevant literature to support the use of MRA neck in the evaluation of suspected or confirmed congenital or acquired coronary artery abnormality. Variant 5: Child. Known single ventricle physiology. Preoperative evaluation for stage 2 single ventricle palliation. Incomplete or inadequate assessment of cardiovascular morphology and function after transthoracic echocardiography. Next imaging study.