However, chest radiography may be used to screen for the location of devices and metallic implants that are placed in this patient population. SPECT or SPECT/CT MPI Rest and Stress There is no role for routine performance of vasodilator stress perfusion after stage 3 palliation in single ventricle. SPECT or SPECT/CT MPI rest and stress tests are used in the setting of changes of clinical status that might indicate underlying cardiac dysfunction. US Echocardiography Transesophageal TEE can be used for comprehensive evaluation of the heart and central vascular anatomy, ventricular and valvular function, and flows in areas that are difficult to assess by TTE. One area in which it is better than TTE is in the detection of intracardiac thrombus. Variant 8: Child or adult. Known or suspected anomalous pulmonary venous return with inadequate evaluation after transthoracic echocardiography. Next imaging study. Total anomalous pulmonary venous connection (TAPVC) refers to the condition in which all of the pulmonary veins drain into the right atrium, either directly or indirectly through other systemic pathways. TAPVC is rare, with prevalence estimated at approximately 0.01% [59]. The contexts of imaging in TAPVC management are to define the surgical anatomy, when one or more pulmonary veins are not visualized by TTE, a TTE showing right-sided cardiac chamber dilation with unclear delineation of the pulmonary venous anatomy, when obstruction is suspected, or when there is an associated abnormality like a varix that is not characterized adequately by TTE. There is also an important role for imaging in the postoperative period after TAPVC repair to screen for recurrent obstruction. Partial anomalous pulmonary venous connection (PAPVC) is where one or more pulmonary veins drains into the right atrium, either directly or indirectly. PAPVC is more common with a prevalence at approximately 1% [59]. PAPVC has a few common variants.
Congenital or Acquired Heart Disease. However, chest radiography may be used to screen for the location of devices and metallic implants that are placed in this patient population. SPECT or SPECT/CT MPI Rest and Stress There is no role for routine performance of vasodilator stress perfusion after stage 3 palliation in single ventricle. SPECT or SPECT/CT MPI rest and stress tests are used in the setting of changes of clinical status that might indicate underlying cardiac dysfunction. US Echocardiography Transesophageal TEE can be used for comprehensive evaluation of the heart and central vascular anatomy, ventricular and valvular function, and flows in areas that are difficult to assess by TTE. One area in which it is better than TTE is in the detection of intracardiac thrombus. Variant 8: Child or adult. Known or suspected anomalous pulmonary venous return with inadequate evaluation after transthoracic echocardiography. Next imaging study. Total anomalous pulmonary venous connection (TAPVC) refers to the condition in which all of the pulmonary veins drain into the right atrium, either directly or indirectly through other systemic pathways. TAPVC is rare, with prevalence estimated at approximately 0.01% [59]. The contexts of imaging in TAPVC management are to define the surgical anatomy, when one or more pulmonary veins are not visualized by TTE, a TTE showing right-sided cardiac chamber dilation with unclear delineation of the pulmonary venous anatomy, when obstruction is suspected, or when there is an associated abnormality like a varix that is not characterized adequately by TTE. There is also an important role for imaging in the postoperative period after TAPVC repair to screen for recurrent obstruction. Partial anomalous pulmonary venous connection (PAPVC) is where one or more pulmonary veins drains into the right atrium, either directly or indirectly. PAPVC is more common with a prevalence at approximately 1% [59]. PAPVC has a few common variants.