Evaluation of pulmonary blood flow in bilateral bidirectional Glenn shunts: value of 4‐D flow cardiac magnetic resonance in the evaluation of pulmonary artery confluence stenosis

Abstract Bilateral bidirectional Glenn shunts are associated with the risk of developing pulmonary artery bifurcation stenosis, resulting in variable pulmonary blood flow to either lung. This could negatively impact the subsequent stages of the single ventricle palliation pathway. This report highli...

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Main Authors: Faiza Al Kindi, Madan Mohan Maddali, Asim Al Balushi, Hamood Al Kindi
Format: Article
Language:English
Published: Wiley 2022-07-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.6038
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author Faiza Al Kindi
Madan Mohan Maddali
Asim Al Balushi
Hamood Al Kindi
author_facet Faiza Al Kindi
Madan Mohan Maddali
Asim Al Balushi
Hamood Al Kindi
author_sort Faiza Al Kindi
collection DOAJ
description Abstract Bilateral bidirectional Glenn shunts are associated with the risk of developing pulmonary artery bifurcation stenosis, resulting in variable pulmonary blood flow to either lung. This could negatively impact the subsequent stages of the single ventricle palliation pathway. This report highlights the value of 4D flow sequence from the cardiac magnetic resonance imaging in demonstrating the pulmonary blood flow characteristics following a bilateral bidirectional Glenn procedure. Mapping the blood flow pattern and its quantification to each lung provide objective insights into the possible predisposing factors for the development of pulmonary bifurcation stenosis.
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spelling doaj.art-b54e5c756c374a34a7b93bb81a6feae82022-12-22T02:50:04ZengWileyClinical Case Reports2050-09042022-07-01107n/an/a10.1002/ccr3.6038Evaluation of pulmonary blood flow in bilateral bidirectional Glenn shunts: value of 4‐D flow cardiac magnetic resonance in the evaluation of pulmonary artery confluence stenosisFaiza Al Kindi0Madan Mohan Maddali1Asim Al Balushi2Hamood Al Kindi3National Heart Center, Royal Hospital Muscat OmanNational Heart Center, Royal Hospital Muscat OmanNational Heart Center, Royal Hospital Muscat OmanNational Heart Center, Royal Hospital Muscat OmanAbstract Bilateral bidirectional Glenn shunts are associated with the risk of developing pulmonary artery bifurcation stenosis, resulting in variable pulmonary blood flow to either lung. This could negatively impact the subsequent stages of the single ventricle palliation pathway. This report highlights the value of 4D flow sequence from the cardiac magnetic resonance imaging in demonstrating the pulmonary blood flow characteristics following a bilateral bidirectional Glenn procedure. Mapping the blood flow pattern and its quantification to each lung provide objective insights into the possible predisposing factors for the development of pulmonary bifurcation stenosis.https://doi.org/10.1002/ccr3.6038bidirectional Glenn shunt (BDG)four‐dimensional (4D) flowcardiac magnetic resonance imaging (CMR)pulmonary artery
spellingShingle Faiza Al Kindi
Madan Mohan Maddali
Asim Al Balushi
Hamood Al Kindi
Evaluation of pulmonary blood flow in bilateral bidirectional Glenn shunts: value of 4‐D flow cardiac magnetic resonance in the evaluation of pulmonary artery confluence stenosis
Clinical Case Reports
bidirectional Glenn shunt (BDG)
four‐dimensional (4D) flow
cardiac magnetic resonance imaging (CMR)
pulmonary artery
title Evaluation of pulmonary blood flow in bilateral bidirectional Glenn shunts: value of 4‐D flow cardiac magnetic resonance in the evaluation of pulmonary artery confluence stenosis
title_full Evaluation of pulmonary blood flow in bilateral bidirectional Glenn shunts: value of 4‐D flow cardiac magnetic resonance in the evaluation of pulmonary artery confluence stenosis
title_fullStr Evaluation of pulmonary blood flow in bilateral bidirectional Glenn shunts: value of 4‐D flow cardiac magnetic resonance in the evaluation of pulmonary artery confluence stenosis
title_full_unstemmed Evaluation of pulmonary blood flow in bilateral bidirectional Glenn shunts: value of 4‐D flow cardiac magnetic resonance in the evaluation of pulmonary artery confluence stenosis
title_short Evaluation of pulmonary blood flow in bilateral bidirectional Glenn shunts: value of 4‐D flow cardiac magnetic resonance in the evaluation of pulmonary artery confluence stenosis
title_sort evaluation of pulmonary blood flow in bilateral bidirectional glenn shunts value of 4 d flow cardiac magnetic resonance in the evaluation of pulmonary artery confluence stenosis
topic bidirectional Glenn shunt (BDG)
four‐dimensional (4D) flow
cardiac magnetic resonance imaging (CMR)
pulmonary artery
url https://doi.org/10.1002/ccr3.6038
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