persmedРоссийский журнал персонализированной медициныRussian Journal for Personalized Medicine2782-38062782-3814ФОНД АЛМАЗОВА10.18705/2782-3806-2024-4-4-348-354QIAZYOpersmed-280Research ArticleЛУЧЕВАЯ ДИАГНОСТИКАDIAGNOSTIC RADIOLOGYСовременные подходы к визуализации тетрады ФаллоModern methods of visualization of the tetralogy of FallotБереговскийД. А.BeregovskiiD. A.

Даниил Андреевич Береговский, ординатор

кафедра лучевой диагностики и медицинской визуализации с клиникой

197341; ул. Аккуратова, д. 2; Санкт-Петербург

Daniil A. Beregovskii, resident

Department of Radiation Diagnostics and medical imaging with the clinic

197341; Akkuratova str., 2; Saint Petersburg

bereg.daniil96@mail.ruФилинЯ. А.FilinYa. A.

Яна Альбертовна Филин, ординатор

кафедра лучевой диагностики и медицинской визуализации с клиникой

Санкт-Петербург

Yana A. Filin, resident

Department of Radiation Diagnostics and medical imaging with the clinic

Saint Petersburg

ШапиеваА. Ш.ShapievaA. Sh.

Айшат Шапиевна Шапиева, ординатор

кафедра лучевой диагностики и медицинской визуализации с клиникой

Санкт-Петербург

Aishat Sh. Shapieva, resident

Department of Radiation Diagnostics and medical imaging with the clinic

Saint Petersburg

ШатохинаМ. Г.ShatokhinaM. G.

Мария Геннадьевна Шатохина, к. м. н., заведующий отделением, ассистент

АО «Кардиоклиника»; отделение лучевой диагностики; кафедра лучевой диагностики и медицинской визуализации с клиникой

Санкт-Петербург

Mariya G. Shatokhina, Ph.D. of Medical Sciences, head of the department, assistant

JSC Kardioklinika; department of radiation diagnostics; department of radiationdiagnostics and medical imaging with clinic

Saint Petersburg

ТруфановГ. Е.TrufanovG. E.

Геннадий Евгеньевич Труфанов, д. м. н., профессор, заведующий кафедрой

кафедра лучевой диагностики и медицинской визуализации с клиникой

Санкт-Петербург

Gennady E. Trufanov, doctor of medical sciences, professor, head of the department

department of radiation diagnostics and medical imaging with clinic

Saint Petersburg

Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research CentreRussian Federation20241409202444348354Copyright © Береговский Д.А., Филин Я.А., Шапиева А.Ш., Шатохина М.Г., Труфанов Г.Е., 20242024Береговский Д.А., Филин Я.А., Шапиева А.Ш., Шатохина М.Г., Труфанов Г.Е.Beregovskii D.A., Filin Y.A., Shapieva A.S., Shatokhina M.G., Trufanov G.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://persmed.elpub.ru/jour/article/view/280

   Тетрада Фалло является одним из десяти наиболее распространенных врожденных по­роков сердца, вызывающих значительные проблемы с кровообращением и приводящих к тяжелым клиническим проявлениям. Она характеризуется сочетанием четырех анатомических дефектов: обструкцией выносящего тракта правого желудочка (ОВТПЖ) или стенозом легочной артерии (СЛА), дефектом межжелудочковой перегородки (ДМЖП), декстрапозицией аорты и гипертрофией правого желудочка. Это заболевание вызывает важные социальные и экономические последствия для системы здравоохранения, так как требует сложного хирургического вмешательства и длительного периода реабилитации. Своевременная диагностика и комплексный подход к лечению, который включает хи­рургическую коррекцию и послеоперационную реабилитацию, позволяет улучшить прогноз для пациентов, увеличить продолжительность жизни и ее качество. Современные комплексные методы кардиологической визуализации, такие как эхокар­диография, компьютерная томография и магнитно­резонансная томография, помогают диагностировать тетраду Фалло, точно оценить степень порока, гемодинамику и спланировать наиболее эффективное лечение.

   Tetrad of Fallot is one of the ten most common congenital heart defects that cause significant circulatory problems and lead to severe clinical manifestations. It is characterized by a combination of four anatomical defects: obstruction of the outflow tract of the right ventricle or pulmonary artery stenosis, ventricular septal defect, aortic dextraposition and right ventricular hypertrophy. This disease causes important social and economic consequences for the health care system, as it requires complex surgical intervention and a long period of rehabilitation. Timely diagnosis and an integrated approach to treatment, which includes surgical correction and postoperative rehabilitation, can improve the prognosis for patients, increase life expectancy and its quality. Modern complex methods of cardiological imaging, such as echocardiography, computed tomography and magnetic resonance imaging, help diagnose tetrad Fallot, accurately assess the degree of defect, hemodynamics and plan the most effective treatment.

кардиовизуализациялучевая диагностикаМРТтетрада ФаллоэхокардиографияcardiovisualizationechocardiographyMRIradiological diagnosistetrad of FallotReferencesBailliard F, Anderson RH. Tetralogy of Fallot. Orphanet J Rare Dis. 2009; 4, 2.Bailliard F, Anderson RH. Tetralogy of Fallot. Orphanet J Rare Dis. 2009; 4, 2.Nørgaard MA, Lauridsen P, Helvind M, Pettersson G. Twenty-to-thirty-seven-year follow-up after repair for Tetralogy of Fallot, European Journal of Cardio-Thoracic Surgery. 1999. Vol. 16. Iss. 2. P. 125–130.Nørgaard MA, Lauridsen P, Helvind M, Pettersson G. Twenty-to-thirty-seven-year follow-up after repair for Tetralogy of Fallot, European Journal of Cardio-Thoracic Surgery. 1999. Vol. 16. Iss. 2. P. 125–130.Hammett O, Griksaitis MJ. Management of tetralogy of Fallot in the pediatric intensive care unit. Front. Pediatr. 2023;11:1104533.Hammett O, Griksaitis MJ. Management of tetralogy of Fallot in the pediatric intensive care unit. Front. Pediatr. 2023;11:1104533.Ho SY. Congenital Heart Defects: Morphological and Functional Perspectives. Springer. 2016.Ho SY. Congenital Heart Defects: Morphological and Functional Perspectives. Springer. 2016.Petrova M, et al. Doppler Ultrasound in Hemodynamic Assessment of Tetralogy of Fallot. Pediatric Cardiology. 2021.Petrova M, et al. Doppler Ultrasound in Hemodynamic Assessment of Tetralogy of Fallot. Pediatric Cardiology. 2021.Ryan T. Clinical Echocardiography Review: A Self-Assessment Tool. Wolters Kluwer. 2017.Ryan T. Clinical Echocardiography Review: A Self-Assessment Tool. Wolters Kluwer. 2017.Lang RM, et al. Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Journal of the American Society of Echocardiography. 2018;31(4): 451–467.Lang RM, et al. Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Journal of the American Society of Echocardiography. 2018;31(4): 451–467.Fogel MA, et al. The Use of Doppler Echocardiography in the Assessment of Congenital Heart Disease. Pediatric Cardiology. 2015;36(3): 501–509.Fogel MA, et al. The Use of Doppler Echocardiography in the Assessment of Congenital Heart Disease. Pediatric Cardiology. 2015;36(3): 501–509.Colan SD. Echocardiographic Assessment of Ventricular Septal Defects. Circulation. 2019;140(1): 88–98.Colan SD. Echocardiographic Assessment of Ventricular Septal Defects. Circulation. 2019;140(1): 88–98.Saric M, et al. Three-dimensional Echocardiography in the Evaluation of Congenital Heart Disease. Heart. 2017;103(6): 474–481.Saric M, et al. Three-dimensional Echocardiography in the Evaluation of Congenital Heart Disease. Heart. 2017;103(6): 474–481.Levine RA, et al. Three-dimensional Echocardiographic Assessment of Right Ventricular Function. Journal of the American Society of Echocardiography. 2020;33(1): 1–15.Levine RA, et al. Three-dimensional Echocardiographic Assessment of Right Ventricular Function. Journal of the American Society of Echocardiography. 2020;33(1): 1–15.Friedberg MK, et al. Echocardiographic Imaging of the Right Ventricle: A Practical Guide for Cardiac Sonographers. Journal of the American Society of Echocardiography. 2015;28(3): 240–263.Friedberg MK, et al. Echocardiographic Imaging of the Right Ventricle: A Practical Guide for Cardiac Sonographers. Journal of the American Society of Echocardiography. 2015;28(3): 240–263.Reddy SR, et al. Advanced Imaging Techniques in Congenital Heart Disease. Journal of Cardiovascular Magnetic Resonance. 2018;20(1): 10.Reddy SR, et al. Advanced Imaging Techniques in Congenital Heart Disease. Journal of Cardiovascular Magnetic Resonance. 2018;20(1): 10.Smirnova E, et al. CT Angiography in Detecting Associated Anomalies in Tetralogy of Fallot. Radiology Reports. 2020.Smirnova E, et al. CT Angiography in Detecting Associated Anomalies in Tetralogy of Fallot. Radiology Reports. 2020.Kuznetsova A, et al. Postoperative Monitoring of Tetralogy of Fallot Patients Using Chest Radiography. Thoracic Imaging. 2019.Kuznetsova A, et al. Postoperative Monitoring of Tetralogy of Fallot Patients Using Chest Radiography. Thoracic Imaging. 2019.Narula J, et al. Artificial Intelligence in Cardiology. Nature Reviews Cardiology. 2020; 17(12): 667–685.Narula J, et al. Artificial Intelligence in Cardiology. Nature Reviews Cardiology. 2020; 17(12): 667–685.McMahon C, et al. Advancements in Cardiac CT for the Evaluation of Tetralogy of Fallot. Journal of Cardiology Research. 2020.McMahon C, et al. Advancements in Cardiac CT for the Evaluation of Tetralogy of Fallot. Journal of Cardiology Research. 2020.Johnson TR, et al. Role of Multislice CT in the Preoperative Assessment of Tetralogy of Fallot. Radiology Today. 2019.Johnson TR, et al. Role of Multislice CT in the Preoperative Assessment of Tetralogy of Fallot. Radiology Today. 2019.Smith AB, et al. Cardiac CT Angiography in Congenital Heart Disease: Emphasis on Tetralogy of Fallot. Pediatric Cardiology. 2018.Smith AB, et al. Cardiac CT Angiography in Congenital Heart Disease: Emphasis on Tetralogy of Fallot. Pediatric Cardiology. 2018.Kang JW, et al. The Impact of Advanced Imaging Techniques in the Management of Tetralogy of Fallot. Journal of Cardiovascular Computed Tomography. 2017.Kang JW, et al. The Impact of Advanced Imaging Techniques in the Management of Tetralogy of Fallot. Journal of Cardiovascular Computed Tomography. 2017.Müller M, et al. Comparative Study of Cardiac MRI and CT in the Evaluation of Tetralogy of Fallot. European Radiology. 2016.Müller M, et al. Comparative Study of Cardiac MRI and CT in the Evaluation of Tetralogy of Fallot. European Radiology. 2016.Mitchell E, et al. Role of MRI in Detailed Visualization of Cardiac Anatomy in Tetralogy of Fallot. Cardiac Imaging. 2021.Mitchell E, et al. Role of MRI in Detailed Visualization of Cardiac Anatomy in Tetralogy of Fallot. Cardiac Imaging. 2021.Ivanov A, et al. MRI Evaluation of Right Ventricular Function in Tetralogy of Fallot. Journal of Cardiovascular Magnetic Resonance. 2022.Ivanov A, et al. MRI Evaluation of Right Ventricular Function in Tetralogy of Fallot. Journal of Cardiovascular Magnetic Resonance. 2022.Therrien J, Siu SC, McLaughlin PR, et al. Magnetic resonance imaging in adult congenital heart disease. Circulation. 2000; 103: 2407–2413.Therrien J, Siu SC, McLaughlin PR, et al. Magnetic resonance imaging in adult congenital heart disease. Circulation. 2000; 103: 2407–2413.Geva T, Sandweiss BM, Gauvreau K, et al. Magnetic resonance imaging of the right ventricle in repaired tetralogy of Fallot: diagnostic accuracy and reproducibility. J Am Coll Cardiol. 2013; 62(19): 1656–1664.Geva T, Sandweiss BM, Gauvreau K, et al. Magnetic resonance imaging of the right ventricle in repaired tetralogy of Fallot: diagnostic accuracy and reproducibility. J Am Coll Cardiol. 2013; 62(19): 1656–1664.Jackson JL, Allison SJ, Lightfoot JC, et al. MRI findings in adults with repaired tetralogy of Fallot. Clin Radiol. 2009; 64(11): 1070–1077.Jackson JL, Allison SJ, Lightfoot JC, et al. MRI findings in adults with repaired tetralogy of Fallot. Clin Radiol. 2009; 64(11): 1070–1077.Buechel ER, Dave HH, Kellenberger CJ, et al. Remodeling of the right ventricle after early pulmonary valve replacement in children with repaired tetralogy of Fallot: assessment by cardiovascular magnetic resonance. Eur Heart J. 2005; 26(24): 2721–2727.Buechel ER, Dave HH, Kellenberger CJ, et al. Remodeling of the right ventricle after early pulmonary valve replacement in children with repaired tetralogy of Fallot: assessment by cardiovascular magnetic resonance. Eur Heart J. 2005; 26(24): 2721–2727.Valente AM, Gauvreau K, Assenza GE, et al. Clinical outcomes in patients with repaired tetralogy of Fallot: the impact of right ventricular size and function, and ventricular arrhythmias. J Am Coll Cardiol. 2014; 64(23): 2342–2350.Valente AM, Gauvreau K, Assenza GE, et al. Clinical outcomes in patients with repaired tetralogy of Fallot: the impact of right ventricular size and function, and ventricular arrhythmias. J Am Coll Cardiol. 2014; 64(23): 2342–2350.Pushparajah K, Tzifa A, Bell A, et al. Echocardiography and magnetic resonance imaging in tetralogy of Fallot: complement or competition? Heart. 2015; 101(21): 1680–1689.Pushparajah K, Tzifa A, Bell A, et al. Echocardiography and magnetic resonance imaging in tetralogy of Fallot: complement or competition? Heart. 2015; 101(21): 1680–1689.

The authors declare that there are no conflicts of interest present.