The Journal of Thoracic and Cardiovascular Surgery
Volume 130, Issue 6 , Pages 1523-1530 , December 2005

Brain magnetic resonance imaging abnormalities after the Norwood procedure using regional cerebral perfusion

  • Catherine L. Dent, MD

      Affiliations

    • Departments of Pediatrics (Divisions of Cardiology
    • Corresponding Author InformationAddress for reprints: Catherine Dent, MD, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, MLC 2003, Cincinnati, OH 45229-3039
    • ,
  • James P. Spaeth, MD

      Affiliations

    • Anesthesiology, Cincinnati Children's Hospital Medical Center and the University of Cincinnati College of Medicine, Cincinnati, Ohio
    • ,
  • Blaise V. Jones, MD

      Affiliations

    • Radiology
    • ,
  • Steven M. Schwartz, MD

      Affiliations

    • Departments of Pediatrics (Divisions of Cardiology
    • ,
  • Tracy A. Glauser, MD

      Affiliations

    • Neurology
    • ,
  • Barbara Hallinan, MD, PhD

      Affiliations

    • Neurology
    • ,
  • Jeffrey M. Pearl, MD

      Affiliations

    • Surgery (Division of Cardiothoracic Surgery)
    • ,
  • Philip R. Khoury, MS

      Affiliations

    • Departments of Pediatrics (Divisions of Cardiology
    • Epidemiology/Biostatistics)
    • ,
  • C. Dean Kurth, MD

      Affiliations

    • Anesthesiology, Cincinnati Children's Hospital Medical Center and the University of Cincinnati College of Medicine, Cincinnati, Ohio

  • Image Result

    Axial T1 inversion recovery images on a patient before (left) and 7 days after (right) surgical intervention. The preoperative MRI result was normal. This infant had multiple foci of hemorrhagic stain

    Axial T1 inversion recovery images on a patient before (left) and 7 days after (right) surgical intervention. The preoperative MRI result was normal. This infant had multiple foci of hemorrhagic staining within the periventricular white matter (arrows) characteristic of ischemia from hypoperfusion.

  • Image Result
    Axial T1 inversion recovery images on a patient before (left) and 4 days after (right) surgical intervention. The preoperative scan demonstrates increased signal intensity in the left frontal lobe (ar

    Axial T1 inversion recovery images on a patient before (left) and 4 days after (right) surgical intervention. The preoperative scan demonstrates increased signal intensity in the left frontal lobe (arrow) consistent with a small focal area of hemorrhage. There are also small bilateral extra-axial subdural blood collections in the occipital regions. The postoperative scan demonstrates signal abnormalities consistent with new ischemia in the left frontal lobe and a large left frontal subdural-subarchnoid hemorrhage with mass effect (arrow). The extra-axial fluid collections have not changed.

PII: S0022-5223(05)01369-3

doi: 10.1016/j.jtcvs.2005.07.051

The Journal of Thoracic and Cardiovascular Surgery
Volume 130, Issue 6 , Pages 1523-1530 , December 2005

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