Total anomalous pulmonary venous connection x ray: Difference between revisions
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{{Template:Total anomalous pulmonary venous connection}} | {{Template:Total anomalous pulmonary venous connection}} | ||
{{CMG}}; {{AE}} {{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu]; [[Priyamvada Singh|Priyamvada Singh, MBBS]] [mailto:psingh13579@gmail.com]; '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu] | {{CMG}}; {{AE}} {{CZ}} {{Sahar}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu]; [[Priyamvada Singh|Priyamvada Singh, MBBS]] [mailto:psingh13579@gmail.com]; '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu] | ||
==Overview== | ==Overview== | ||
The findings on chest radiography vary depending on the type of anatomic variant of total anomalous pulmonary venous connection (TAPVC). | The findings on [[chest radiography]] vary depending on the type of [[anatomic]] variant of total anomalous pulmonary venous connection (TAPVC). '''Snowman sign''' is considered pathognomonic for the [[diagnosis]] of total anomalous pulmonary venous connection. | ||
==X Ray== | ==X Ray== | ||
* Unobstructed: | [[X-ray]] findings suggestive of the total anomalous pulmonary venous connection include:<ref name="Golden1960">{{cite journal|last1=Golden|first1=Richard L.|title="SNOWMAN" HEART|journal=JAMA|volume=173|issue=10|year=1960|pages=1102|issn=0098-7484|doi=10.1001/jama.1960.03020280042009}}</ref> | ||
** Snowman sign : A large | *Unobstructed: | ||
** Mild dilatation of the pulmonary arteries. | ** '''Snowman sign''': A large supra cardiac shadow due to the anomalous [[pulmonary vein]] and persistent left [[superior vena cava]] can be seen, which together with normal [[cardiac]] shadow forms a snowman appearance. | ||
*** This x-ray finding is considered pathognomonic for the diagnosis of total anomalous pulmonary venous connection. | |||
** Mild dilatation of the [[pulmonary]] arteries. | |||
** Mild [[cardiomegaly]] | ** Mild [[cardiomegaly]] | ||
* Obstructed: | *Obstructed: | ||
** [[Pulmonary vein]] congestion | ** [[Pulmonary vein]] congestion | ||
** Dilatation of the pulmonary arteries | ** Dilatation of the [[pulmonary]] arteries | ||
** [[Pulmonary edema]] | ** [[Pulmonary edema]] | ||
===Image=== | ===Image=== | ||
[[File:Snowman-sign-1.jpg|thumb| | [[File:Snowman-sign-1.jpg|thumb|center|300px|Chest x ray indicating snowman sign in supracardiac type of TAPVR<ref>Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 36858</ref>]] | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} |
Latest revision as of 17:28, 15 April 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2] Sahar Memar Montazerin, M.D.[3]; Keri Shafer, M.D. [4]; Priyamvada Singh, MBBS [5]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [6]
Overview
The findings on chest radiography vary depending on the type of anatomic variant of total anomalous pulmonary venous connection (TAPVC). Snowman sign is considered pathognomonic for the diagnosis of total anomalous pulmonary venous connection.
X Ray
X-ray findings suggestive of the total anomalous pulmonary venous connection include:[1]
- Unobstructed:
- Snowman sign: A large supra cardiac shadow due to the anomalous pulmonary vein and persistent left superior vena cava can be seen, which together with normal cardiac shadow forms a snowman appearance.
- This x-ray finding is considered pathognomonic for the diagnosis of total anomalous pulmonary venous connection.
- Mild dilatation of the pulmonary arteries.
- Mild cardiomegaly
- Snowman sign: A large supra cardiac shadow due to the anomalous pulmonary vein and persistent left superior vena cava can be seen, which together with normal cardiac shadow forms a snowman appearance.
- Obstructed:
- Pulmonary vein congestion
- Dilatation of the pulmonary arteries
- Pulmonary edema