Atrial septal defect chest x ray: Difference between revisions

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==Overview==
==Overview==
Chest x rays may detect an [[atrial septal defect]].  Chest x rays can be limited in imaging quality and may only supplement other imaging modalities. The chest x-ray may demonstrate [[cardiomegaly]] (right ventricular and [[right atrial enlargement]]), a prominent [[pulmonary artery]] segment, and increased pulmonary vascular markings.
Chest x rays may detect an atrial septal defect.  Chest x rays can be limited in imaging quality and may only supplement other imaging modalities. The chest x-ray may demonstrate [[cardiomegaly]] (right ventricle and [[right atrial enlargement]]), a prominent [[pulmonary artery]] segment and increased pulmonary vascular markings.


==Chest X Ray==
==Chest X Ray==
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===Common Findings===
===Common Findings===


CXR findings on an anteroposterior view of chest the X-ray in [[atrial septal defect]] may include: <ref name="Abdulla">Abdulla, Ra-id. (2011). Heart Diseases in Children: A Pediatrician's Guide. Springer.</ref>
CXR findings on an anteroposterior view of the chest x-ray in atrial septal defect may include: <ref name="Abdulla">Abdulla, Ra-id. (2011). Heart Diseases in Children: A Pediatrician's Guide. Springer.</ref>


'''1)''' Prominent [[pulmonary artery]], increased pulmonary vascular markings.
1) Prominent [[pulmonary artery]], increased pulmonary vascular markings.


'''2)''' [[Cardiomegaly]] due to right atrial and ventricular enlargement.
2) [[Cardiomegaly]] due to [[right atrial enlargement|right atrial]] and ventricular enlargement.


'''3)''' Triangular appearance of the heart
3)' Triangular appearance of the [[heart]]
* Results from enlargement of pulmonary arteries preventing the ascending and transverse aorta from forming normal heart borders
* Results from enlargement of [[pulmonary arteries]] preventing the ascending and transverse [[aorta]] from forming normal heart borders.


'''4)''' [[Scimitar syndrome|Scimitar sign]],
4) [[Scimitar syndrome|Scimitar sign]]  
* A vertical, modestly curved, density in the right-side of the pericardium, may be visible
* A vertical, modestly curved, density in the right-side of the [[pericardium]], may be visible.
* Commonly associated with the [[Atrial septal defect sinus venosus|sinus venosus]] atrial septal defect
* Commonly associated with the [[Atrial septal defect sinus venosus|sinus venosus]] atrial septal defect.
* Results from the point of insertion of the pulmonary vein into the [[inferior vena cava]]
* Results from the point of insertion of the [[pulmonary vein]] into the [[inferior vena cava]].
* May cause abnormal densities within the chest x ray
* May cause abnormal densities within the [[chest x ray]].


'''5)''' Dilatation of the [[superior vena cava]] can be seen in [[Atrial septal defect sinus venosus|sinus venosus]]
5) Dilatation of the [[superior vena cava]] can be seen in [[Atrial septal defect sinus venosus|sinus venosus]]


===Less Common Findings===
===Less Common Findings===
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* [[Pulmonary edema]]
* [[Pulmonary edema]]
* [[Hypertension|Pulmonary venous hypertension]]
* [[Hypertension|Pulmonary venous hypertension]]
 
===Imagings===
===Imaging===
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==References==
==References==
{{reflist|2}}
{{reflist|2}}
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{{WS}}
[[CME Category::Cardiology]]


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[[Category:Cardiology]]
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[[Category:Embryology]]
[[Category:Embryology]]
[[Category:Disease]]
[[Category:Disease]]
 
[[Category:Best pages]]
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Latest revision as of 01:44, 15 March 2016

Atrial Septal Defect Microchapters

Home

Patient Information

Overview

Anatomy

Classification

Ostium Secundum Atrial Septal Defect
Ostium Primum Atrial Septal Defect
Sinus Venosus Atrial Septal Defect
Coronary Sinus
Patent Foramen Ovale
Common or Single Atrium

Pathophysiology

Epidemiology and Demographics

Risk Factors

Natural History and Prognosis

Complications

Diagnosis

History and Symptoms

Physical Examination

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography

Transesophageal Echocardiography
Transthoracic Echocardiography
Contrast Echocardiography
M-Mode
Doppler

Transcranial Doppler Ultrasound

Cardiac Catheterization

Exercise Testing

ACC/AHA Guidelines for Evaluation of Unoperated Patients

Treatment

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Surgery

Indications for Surgical Repair
Surgical Closure
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Robotic ASD Repair
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Special Scenarios

Pregnancy
Diving and Decompression Sickness
Paradoxical Emboli
Pulmonary Hypertension
Eisenmenger's Syndrome
Atmospheric Pressure

Case Studies

Case #1

Atrial septal defect chest x ray On the Web

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [4]

Overview

Chest x rays may detect an atrial septal defect. Chest x rays can be limited in imaging quality and may only supplement other imaging modalities. The chest x-ray may demonstrate cardiomegaly (right ventricle and right atrial enlargement), a prominent pulmonary artery segment and increased pulmonary vascular markings.

Chest X Ray

Common Findings

CXR findings on an anteroposterior view of the chest x-ray in atrial septal defect may include: [1]

1) Prominent pulmonary artery, increased pulmonary vascular markings.

2) Cardiomegaly due to right atrial and ventricular enlargement.

3)' Triangular appearance of the heart

  • Results from enlargement of pulmonary arteries preventing the ascending and transverse aorta from forming normal heart borders.

4) Scimitar sign

5) Dilatation of the superior vena cava can be seen in sinus venosus

Less Common Findings

Imagings

References

  1. Abdulla, Ra-id. (2011). Heart Diseases in Children: A Pediatrician's Guide. Springer.

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