Lymphatic anomalies in congenital heart disease
Pediatric Radiology, 2022•Springer
Congenital heart disease can lead to various lymphatic complications including traumatic
leaks, lymphatic overproduction, conduction abnormalities or lymphedema. Advancements
in the imaging of central lymphatics and guided interventions have improved outcomes in
these children. Dynamic contrast-enhanced magnetic resonance (MR) lymphangiography
allows for the assessment of abnormal lymphatic drainage. This technique is preferred for
evaluating lymphatic conditions such as plastic bronchitis, chylothorax, chyloptysis …
leaks, lymphatic overproduction, conduction abnormalities or lymphedema. Advancements
in the imaging of central lymphatics and guided interventions have improved outcomes in
these children. Dynamic contrast-enhanced magnetic resonance (MR) lymphangiography
allows for the assessment of abnormal lymphatic drainage. This technique is preferred for
evaluating lymphatic conditions such as plastic bronchitis, chylothorax, chyloptysis …
Abstract
Congenital heart disease can lead to various lymphatic complications including traumatic leaks, lymphatic overproduction, conduction abnormalities or lymphedema. Advancements in the imaging of central lymphatics and guided interventions have improved outcomes in these children. Dynamic contrast-enhanced magnetic resonance (MR) lymphangiography allows for the assessment of abnormal lymphatic drainage. This technique is preferred for evaluating lymphatic conditions such as plastic bronchitis, chylothorax, chyloptysis, chylopericardium, protein-losing enteropathy and chylous ascites, among other lymphatic disorders. In this review, we discuss lymphatic abnormalities encountered on MRI in children with congenital heart disease. We also briefly review treatment options.
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