Technical Recommendations for Computed Tomography Guidance of Intervention in the Right Ventricular Outflow Tract: Native RVOT, Conduits, and Bioprosthetic Valves

World J Pediatr Congenit Heart Surg. 2023 Nov;14(6):761-791. doi: 10.1177/21501351231186898. Epub 2023 Aug 30.

Abstract

This consensus document for the performance of cardiovascular computed tomography (CCT) to guide intervention in the right ventricular outflow tract (RVOT) in patients with congenital heart disease (CHD) was developed collaboratively by pediatric and adult interventionalists, surgeons, and cardiac imagers with expertise specific to this patient subset. The document summarizes definitions of RVOT dysfunction as assessed by multimodality imaging techniques and reviews existing consensus statements and guideline documents pertaining to indications for intervention. In the context of this background information, recommendations for CCT scan acquisition and a standardized approach for reporting prior to surgical or transcatheter pulmonary valve replacement are proposed and presented. It is the first Imaging for Intervention collaboration for CHD patients and encompasses imaging and reporting recommendations prior to both surgical and percutaneous pulmonary valve replacement.

Keywords: cardiac computed tomography; congenital heart disease; pulmonary valve.

MeSH terms

  • Adult
  • Cardiac Catheterization / methods
  • Child
  • Heart Defects, Congenital* / surgery
  • Heart Valve Prosthesis Implantation* / methods
  • Heart Valve Prosthesis*
  • Humans
  • Prosthesis Design
  • Pulmonary Valve Insufficiency* / surgery
  • Pulmonary Valve* / surgery
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ventricular Outflow Obstruction* / surgery