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Background <p>Congenital heart disease (CHD) is a leading cause of infant morbidity and mortality worldwide, with a prevalence of approximately 8 per 1,000 live births. Multi-detector computed tomography (MDCT) has emerged as a crucial imaging tool, providing detailed anatomical visualization of cardiac structures, particularly in cases requiring preoperative assessment.</p> Methods <p>A retrospective analysis of CHD patients was conducted, assessing demographic characteristics, disease classification, and MDCT findings. Statistical data and radiological images from a 2-year study period were analyzed to determine the role of MDCT in CHD diagnosis.</p> Results <p>Of 619 patients analyzed, 61% were male and 39% were female. Cyanotic CHD accounted for 55% of cases, with tetralogy of Fallot (TOF) being the most prevalent (64.3%). Acyanotic CHD made up 45%, with coarctation of the aorta (16%) and left-to-right shunts (13.6%) being the most common. MDCT demonstrated superior diagnostic capability in assessing extracardiac vascular anomalies and complex CHD subtypes.</p> Conclusions <p>MDCT is a valuable adjunct to echocardiography in CHD evaluation, particularly for surgical planning. Despite concerns about radiation exposure, its high spatial resolution and three-dimensional reconstruction capabilities make it indispensable for complex CHD assessment.</p>

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Assessment of radiological signs and epidemiology of congenital heart disease among Egyptian children undergoing multi-detector computed tomography

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月13日

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  • Ayat Mousa,
  • Mohamed Ali Salem,
  • Rania Hegazy,
  • Hassan Elkiki

摘要

Background

Congenital heart disease (CHD) is a leading cause of infant morbidity and mortality worldwide, with a prevalence of approximately 8 per 1,000 live births. Multi-detector computed tomography (MDCT) has emerged as a crucial imaging tool, providing detailed anatomical visualization of cardiac structures, particularly in cases requiring preoperative assessment.

Methods

A retrospective analysis of CHD patients was conducted, assessing demographic characteristics, disease classification, and MDCT findings. Statistical data and radiological images from a 2-year study period were analyzed to determine the role of MDCT in CHD diagnosis.

Results

Of 619 patients analyzed, 61% were male and 39% were female. Cyanotic CHD accounted for 55% of cases, with tetralogy of Fallot (TOF) being the most prevalent (64.3%). Acyanotic CHD made up 45%, with coarctation of the aorta (16%) and left-to-right shunts (13.6%) being the most common. MDCT demonstrated superior diagnostic capability in assessing extracardiac vascular anomalies and complex CHD subtypes.

Conclusions

MDCT is a valuable adjunct to echocardiography in CHD evaluation, particularly for surgical planning. Despite concerns about radiation exposure, its high spatial resolution and three-dimensional reconstruction capabilities make it indispensable for complex CHD assessment.