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Abstract #2348

Cerebral perfusion in neonates with severe congenital heart disease

Alexandra De Silvestro1,2,3, Giancarlo Natalucci4, Maria Feldmann3,5, Cornelia Hagmann3,6, Thi Dao Nguyen4, Seline Coraj4, Beatrice Latal3,5, Walter Knirsch1,3, and Ruth Tuura2,3
1Pediatric Cardiology, Pediatric Heart Center, Department of Surgery, University Children's Hospital Zurich, Zurich, Switzerland, 2Center for MR-Research, University Children's Hospital Zurich, Zurich, Switzerland, 3Children's Research Center, University Children's Hospital Zurich, Zurich, Switzerland, 4Department of Neonatology, University Hospital Zurich, Zurich, Switzerland, 5Child Development Center, University Children's Hospital Zurich, Zurich, Switzerland, 6Department of Neonatology and Pediatric Intensive Care, University Children's Hospital Zurich, Zurich, Switzerland

Synopsis

Keywords: Neonatal, Arterial spin labellingWe aimed to compare cerebral perfusion in neonates with severe congenital heart disease (CHD) and healthy controls using arterial spin labeling magnetic resonance imaging. Sixty-seven scans of CHD patients and 23 scans of controls were analyzed (postmenstrual age at scan 41.6±1.8 and 41.9±2.1 weeks, respectively). As in healthy neonates, cerebral perfusion in CHD patients increased with age. Whereas age-adjusted whole brain perfusion was similar to controls, redistribution of regional perfusion was detected in CHD patients. Furthermore, the presence of a systemic-to-pulmonary shunt was associated with cerebral hypoperfusion. Effects of cerebral perfusion alterations on neurodevelopment need to be further assessed.

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