Paediatric- congenital heart diseaseCreated OnMay 7, 2020Last Updated OnOctober 26, 2020byadmin You are here: Main Radiology Paediatric- congenital heart disease < All Topics Table of Contents Radiographic appearance of congenital heart disease: Cyanotic defects Radiographic appearances Tetralogy of Fallot (ToF) Boot shaped heart. A normal left atrium and left ventricle is associated with an enlarged, hypertrophied right ventricle and small/absent main pulmonary artery. Oligemic lung field. Pulmonary stenosis Heart enlarged; elevated cardiac apex Transposition of the Great Arteries (TGA) Heart size initially normal – enlarges over time; thymus small or absent Tricuspid atresia Heart size normal; associated with other malformations; radiographic appearances varied Total anomalous pulmonary venous return (TAPVR) Pulmonary venous congestion. Cardiomegaly is minimal or absent. Congestive heart failure and pulmonary edema may be present, especially with type 3 (subdiaphragmatic) TAPVR Acyanotic defects Radiographic appearances Patent Ductus Arteriosus (PDA) Slight cardiac enlargement; commonest cardiac cause of respiratory distress Atrial Septal Defect (ASD) Slight cardiac enlargement possible (right atrium and ventricle) Ventricular Septal Defect (VSD) Most common congenital condition; heart enlarged; aorta normal size Coarctation of Aorta Narrowing of aorta at site of coarctation; rib notching seen in older children, but not in under 5 years of age BOOT SHAPED HEART Tetralogy of Fallot (TOF) EGG ON STRING Transposition of Great Arteries (TGA) Notes: Plain film radiography is NOT specific in the diagnosis of congenital heart disease Need to be correlated with clinical findings, laboratory tests and other cardiac imaging: particularly ECHOCARDIOGRAPHY. *Some of the image photo is taken from web, we do not own this, it’s for knowledge sharing purpose.
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