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British Journal of Radiology 74 (2001),280-282 © 2001 The British Institute of Radiology

Case report

MRI diagnosis of a previously undiagnosed large trabecular ventricular septal defect in an adult after multiple catheterizations and angiocardiograms

N I Stauder, MD1, S Miller, MD1, A M Scheule, MD2, G Ziemer, MD2 and C D Claussen, MD1

1 Departments of Diagnostic Radiology
2 Thoracic, Heart and Vascular Surgery, University of Tuebingen, Hoppe-Seyler-Str. 3, 72076 Tuebingen, Germany

Ventricular septal defect (VSD) is the most frequent congenital heart disease (25–30%). The diagnosis of VSD is usually made echocardiographically by means of colour Doppler ultrasound, and is confirmed by angiocardiography in most cases. We describe a case in which an additional large trabecular VSD was demonstrated by MRI after previous cardiac catheterizations and angiocardiography in various hospitals. MRI allows an exact presentation of the anatomy, including areas that are difficult to assess, for instance the apical septum. Determination of cardiac output, regurgitation volume and the Qp/Qs quotient in patients with shunt volume in heart defects is also possible with one examination.







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