Tetralogy of fallot chest xray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, M.B.B.S. [2], Keri Shafer, M.D. [3]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [4]

Overview

An x-ray may be helpful in the diagnosis of tetralogy of fallot. Findings on an x-ray diagnostic of tetralogy of fallot include normal or decreased pulmonary vascularity, concave pulmonary artery segment, "boot-like" heart, and right sided aortic arch.

Chest X Ray

  • An x-ray may be helpful in the diagnosis of tetralogy of fallot. Findings on an x-ray diagnostic of tetralogy of fallot include: [1]
    • Normal or decreased pulmonary vascularity
    • Concave pulmonary artery segment
    • In tetralogy of Fallot, the heart may present with a "boot-like" or "coeur en sabot" appearance (an upturned right ventricular apex and a concave main pulmonary arterial segment), rather than the symmetric appearance of a normal heart.
    • A right sided aortic arch may also be present.
    • There is pruning or reduction in the prominence of the pulmonary vasculature over time.

References

  1. Wolfe, Robert R.; Smothermon, Mary M.; Miles, Vincent N.; Wesenberg, Richard; Nora, James J. (1977). "Atypical Radiographic Findings in Neonates with Absent Pulmonary Valve and Tetralogy of Fallot". Chest. 72 (2): 245–247. doi:10.1378/chest.72.2.245. ISSN 0012-3692.


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