Mark A. Fogel, MD, Tom Pawlowski, BS, Peter J. Schwab, BS, Susan C

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Presentation transcript:

Brain Magnetic Resonance Immediately Before Surgery in Single Ventricles and Surgical Postponement Mark A. Fogel, MD, Tom Pawlowski, BS, Peter J. Schwab, BS, Susan C. Nicolson, MD, Lisa M. Montenegro, MD, Laura Diaz Berenstein, MD, Thomas L. Spray, MD, J. William Gaynor, MD, Stephanie Fuller, MD, Marc S. Keller, MD, Matthew A. Harris, MD, Kevin K. Whitehead, MD, Arastoo Vossough, MD, Daniel J. Licht, MD The Annals of Thoracic Surgery Volume 98, Issue 5, Pages 1693-1698 (November 2014) DOI: 10.1016/j.athoracsur.2014.05.079 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Pie chart shows distribution of patients at the various stages of surgical reconstruction (blue = pre-stage I; red = pre-Glenn/hemi-Fontan; green = pre-Fontan). Ages are at the time of magnetic resonance imaging. The Annals of Thoracic Surgery 2014 98, 1693-1698DOI: (10.1016/j.athoracsur.2014.05.079) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Examples are shown of two brain lesions that led to the decision to postpone the operation. The top two images are an example of hemorrhage from a patient with hypoplastic left heart syndrome: (Left) an axial view that used susceptibility imaging, and (Right) a coronal view that used T1-weighted imaging (red arrows point to the hemorrhage). The bottom 2 axial images are examples from a patient with cerebellar cytotoxic edema using (Left) diffusion-weighted and (Right) apparent diffusion coefficient imaging (red arrows point to the lesion). The Annals of Thoracic Surgery 2014 98, 1693-1698DOI: (10.1016/j.athoracsur.2014.05.079) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions