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Tetralogy of Fallot

Nakamura KMN - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Tetralogy of Fallot

History: Newborn term infant delivered by cesarean section with oxygen requirement at one hour of life. Apgars were 8 and 8. Prenatal course was unremarkable.

Findings: The main pulmonary artery shadow is absent and there is upturning of the cardiac apex, both of which contribute to a "boot-shaped" cardiomediastinal silhouette. The pulmonary vasculature is normal to slightly decreased.

Ddx: 1. Tetralogy of Fallot. 2. Normal neonatal chest radiograph with prominent thymus.

Dxhow: Echocardiography and cardiac catheterization

Exam: Physical examination revealed mild cyanosis and mild tachypnea. A newborn laboratory panel was normal.

No MeSH data available.


AP radiograph of the chest demonstrates absence of the normal pulmonary artery shadow and upturning of the cardiac apex secondary to right ventricular hypertrophy.
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MPX1882_synpic18862: AP radiograph of the chest demonstrates absence of the normal pulmonary artery shadow and upturning of the cardiac apex secondary to right ventricular hypertrophy.


Tetralogy of Fallot

Nakamura KMN - MedPix

AP radiograph of the chest demonstrates absence of the normal pulmonary artery shadow and upturning of the cardiac apex secondary to right ventricular hypertrophy.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1882&req=5

MPX1882_synpic18862: AP radiograph of the chest demonstrates absence of the normal pulmonary artery shadow and upturning of the cardiac apex secondary to right ventricular hypertrophy.

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Tetralogy of Fallot

History: Newborn term infant delivered by cesarean section with oxygen requirement at one hour of life. Apgars were 8 and 8. Prenatal course was unremarkable.

Findings: The main pulmonary artery shadow is absent and there is upturning of the cardiac apex, both of which contribute to a "boot-shaped" cardiomediastinal silhouette. The pulmonary vasculature is normal to slightly decreased.

Ddx: 1. Tetralogy of Fallot. 2. Normal neonatal chest radiograph with prominent thymus.

Dxhow: Echocardiography and cardiac catheterization

Exam: Physical examination revealed mild cyanosis and mild tachypnea. A newborn laboratory panel was normal.

No MeSH data available.