Rachel Charis Brook MBBS, MA, Abstract Co-Author: Nothing to Disclose

Ausami Abbas MBBS, Presenter: Nothing to Disclose

Cheryl Main BMBS, Abstract Co-Author: Nothing to Disclose

Charles Robert Peebles MBBS, Abstract Co-Author: Nothing to Disclose

Stephen Harden MRCS, FRCR, Abstract Co-Author: Nothing to Disclose

James Stuart Shambrook MBBS, Abstract Co-Author: Nothing to Disclose

The aim of this education exhibit is to provide the reader with a comprehensive understanding of: 1. The major historical variations in surgical techniques and post-surgical anatomy seen on MRI and CT in patients with a Fontan circulation 2. How and why standard CTPA techniques must be adapted to appropriately image patients with a Fontan circulation 3. The potential complications associated with Fontan circulation and imaging findings

1.  Anatomical variations of Fontan circulation seen on MRI and CT: Classical Fontan procedure Modified Fontan procedure Intra-atrial Conduit Extra-cardiac Conduit   2.  Staged approach to achieving Total Cavopulmonary Fontan circulation   3.  Optimising imaging protocols for Fontan patients CTPA techniques utilised to adequately opacify the Fontan circuit - Illustrations of Dual injection and delayed phase techniques   4. Potential complications associated with the Fontan circulation - review of imaging findings: Thromboembolic events Systemic ventricular failure Aortopulmonary collateral vessels and associated pulmonary haemorrhage Right atrial dilatation (classic fontan circulation) Liver cirrhosis Portosystemic hypertension Arterialized hepatic nodules  

http://abstract.rsna.org/uploads/2014/14006505/14006505_ghna.pdf

Brook, R, Abbas, A, Main, C, Peebles, C, Harden, S, Shambrook, J, Imaging the Fontan Circulation: What? When? How? Why?.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14006505.html