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Abstract #3537

Pressure gradient before and after transcatheter pulmonary valve implantation for repaired tetralogy of Fallot: a new 4D flow MRI measurement

Michinobu Nagao1, Tomohito Kogure1, Hiroshi Hamano2, Yashuhiro Goto1, Isao Shiina1, Kazuo Kodaira1, Mana Kato1, Masami Yoneyama2, Akihiro Inoue1, Atsushi Yamamoto1, Kei Inai1, and Shuji Sakai1
1Tokyo Women's Medical University, Tokyo, Japan, 2Philips Japan, Tokyo, Japan

Synopsis

Keywords: Flow, Cardiovascular

Motivation: Estimating pressure gradients due to valvular disease using 4D flow MRI in repaired TOF

Goal(s): Identify the location and extent of the pressure gradient

Approach: new 4D flow MRI software for pressure gradient measurement

Results: In right heart catheter-defined pulmonary hypertension, this software showed a right ventricular outflow tract to pulmonary artery pressure gradient.

Impact: Whereas pressure gradients used to require invasive catheterization, our method is a noninvasive test that does not use contrast media. It also has the advantage of being able to locate the site of the pressure gradient.

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Keywords