Hemodynamics of a right ventricular outflow tract aneurysm assessed with 4D flow MRI before and after unilateral pulmonary artery balloon angioplasty: A case report

Right ventricular outflow tract aneurysms are rare postoperative complications associated with congenital heart diseases. The hemodynamics associated with a right ventricular outflow tract aneurysm serve as important risk indicators for aneurysm expansion and thrombus formation; however, they have n...

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Main Authors: Hideharu Oka, MD, PhD, Kouichi Nakau, MD, Keita Ito, MD, Rina Imanishi, MD, Kazunori Fukao, RT, Sadahiro Nakagawa, RT, PhD, Tatsuya Suzuki, RT, Satoru Takahashi, MD, PhD
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Language:English
Published: Elsevier 2025-08-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325003802
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author Hideharu Oka, MD, PhD
Kouichi Nakau, MD
Keita Ito, MD
Rina Imanishi, MD
Kazunori Fukao, RT
Sadahiro Nakagawa, RT, PhD
Tatsuya Suzuki, RT
Satoru Takahashi, MD, PhD
author_facet Hideharu Oka, MD, PhD
Kouichi Nakau, MD
Keita Ito, MD
Rina Imanishi, MD
Kazunori Fukao, RT
Sadahiro Nakagawa, RT, PhD
Tatsuya Suzuki, RT
Satoru Takahashi, MD, PhD
author_sort Hideharu Oka, MD, PhD
collection DOAJ
description Right ventricular outflow tract aneurysms are rare postoperative complications associated with congenital heart diseases. The hemodynamics associated with a right ventricular outflow tract aneurysm serve as important risk indicators for aneurysm expansion and thrombus formation; however, they have not been thoroughly evaluated. A 3-year-old girl was diagnosed with Double-outlet right ventricle who underwent surgical correction with patch enlargement of the right ventricular outflow tract at 2.5 years. Postoperatively, a patch expansion mass was observed and 4D flow MRI showed vortex flow. Notably, vortex flow within the aneurysm persisted even after balloon dilation of the unilateral pulmonary artery. Evaluating blood flow in right ventricular outflow tract aneurysms is crucial for determining prognosis and guiding treatment strategies.
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publishDate 2025-08-01
publisher Elsevier
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series Radiology Case Reports
spelling doaj-art-88a2d8cc6f7f48299493913fc2e45b152025-08-20T02:05:09ZengElsevierRadiology Case Reports1930-04332025-08-012083789379210.1016/j.radcr.2025.04.083Hemodynamics of a right ventricular outflow tract aneurysm assessed with 4D flow MRI before and after unilateral pulmonary artery balloon angioplasty: A case reportHideharu Oka, MD, PhD0Kouichi Nakau, MD1Keita Ito, MD2Rina Imanishi, MD3Kazunori Fukao, RT4Sadahiro Nakagawa, RT, PhD5Tatsuya Suzuki, RT6Satoru Takahashi, MD, PhD7Department of Pediatrics, Asahikawa Medical University, Hokkaido, Japan; Corresponding author.Department of Pediatrics, Asahikawa Medical University, Hokkaido, JapanDepartment of Pediatrics, Asahikawa Medical University, Hokkaido, JapanDepartment of Pediatrics, Asahikawa Medical University, Hokkaido, JapanSection of Radiological Technology, Department of Medical Technology, Asahikawa Medical University Hospital, Hokkaido, JapanSection of Radiological Technology, Department of Medical Technology, Asahikawa Medical University Hospital, Hokkaido, JapanSection of Radiological Technology, Department of Medical Technology, Asahikawa Medical University Hospital, Hokkaido, JapanDepartment of Pediatrics, Asahikawa Medical University, Hokkaido, JapanRight ventricular outflow tract aneurysms are rare postoperative complications associated with congenital heart diseases. The hemodynamics associated with a right ventricular outflow tract aneurysm serve as important risk indicators for aneurysm expansion and thrombus formation; however, they have not been thoroughly evaluated. A 3-year-old girl was diagnosed with Double-outlet right ventricle who underwent surgical correction with patch enlargement of the right ventricular outflow tract at 2.5 years. Postoperatively, a patch expansion mass was observed and 4D flow MRI showed vortex flow. Notably, vortex flow within the aneurysm persisted even after balloon dilation of the unilateral pulmonary artery. Evaluating blood flow in right ventricular outflow tract aneurysms is crucial for determining prognosis and guiding treatment strategies.http://www.sciencedirect.com/science/article/pii/S1930043325003802Congenital heart diseaseCase report4D flow MRIRight ventricular outflow tract aneurysmVortex flow
spellingShingle Hideharu Oka, MD, PhD
Kouichi Nakau, MD
Keita Ito, MD
Rina Imanishi, MD
Kazunori Fukao, RT
Sadahiro Nakagawa, RT, PhD
Tatsuya Suzuki, RT
Satoru Takahashi, MD, PhD
Hemodynamics of a right ventricular outflow tract aneurysm assessed with 4D flow MRI before and after unilateral pulmonary artery balloon angioplasty: A case report
Radiology Case Reports
Congenital heart disease
Case report
4D flow MRI
Right ventricular outflow tract aneurysm
Vortex flow
title Hemodynamics of a right ventricular outflow tract aneurysm assessed with 4D flow MRI before and after unilateral pulmonary artery balloon angioplasty: A case report
title_full Hemodynamics of a right ventricular outflow tract aneurysm assessed with 4D flow MRI before and after unilateral pulmonary artery balloon angioplasty: A case report
title_fullStr Hemodynamics of a right ventricular outflow tract aneurysm assessed with 4D flow MRI before and after unilateral pulmonary artery balloon angioplasty: A case report
title_full_unstemmed Hemodynamics of a right ventricular outflow tract aneurysm assessed with 4D flow MRI before and after unilateral pulmonary artery balloon angioplasty: A case report
title_short Hemodynamics of a right ventricular outflow tract aneurysm assessed with 4D flow MRI before and after unilateral pulmonary artery balloon angioplasty: A case report
title_sort hemodynamics of a right ventricular outflow tract aneurysm assessed with 4d flow mri before and after unilateral pulmonary artery balloon angioplasty a case report
topic Congenital heart disease
Case report
4D flow MRI
Right ventricular outflow tract aneurysm
Vortex flow
url http://www.sciencedirect.com/science/article/pii/S1930043325003802
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