Right heart failure chest x ray: Difference between revisions
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==Chest X Ray== | ==Chest X Ray== | ||
*The plain chest X-ray has limited utility in identifying right ventricular failure. However, some signs of [[pulmonary embolism]] can be evident on the chest X-ray such as: dilation of the pulmonary artery proximal to an embolism with collapse of distal vessels also known as oligemia ( | *The plain chest X-ray has limited utility in identifying right ventricular failure. However, some signs of [[pulmonary embolism]] can be evident on the chest X-ray such as: dilation of the [[pulmonary artery]] proximal to an [[embolism]] with collapse of distal vessels also known as [[oligemia]] ([[Westermark sign]]), distended [[azygous vein]] and a right sided heart enlargement/narrowed retrosternal space on lateral view <ref>Kevin L. and Barnard M. 2007. Right ventricular failure: Continuing education in anesthesia, critical care and pain. The Board of Management and Trustees of the British Journal of Anesthesia. 7(3).</ref>. | ||
*In some cases, a chest X-ray might reveal a mediastinal mass that is impinging over the right side of the [[heart]], which is better assessed with CT scan or an MRI. | *In some cases, a chest X-ray might reveal a [[mediastinal mass]] that is impinging over the right side of the [[heart]], which is better assessed with [[CT]] scan or an [[MRI]]. | ||
*Some radiographic findings can be seen in the setting of congenital heart diseases such as the “egg on a string” shaped heart in | *Some radiographic findings can be seen in the setting of congenital heart diseases such as the “egg on a string” shaped heart in [[transposition of great vessels]] and the “boot shaped” heart in [[tetralogy of Fallot]] <ref>Hiader EA. The boot-shaped heart sign. Radiology, 2008; 246 (1):328-9.</ref><ref>Feruson E.C., Krishnamurthy R. and Oldham S.A.A. Classic Imaging signs of congenital cardiovascular abnormalities. RadioGraphics, 2007; 27, 1323-1334.</ref>. | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Up-To-Date cardiology]] | |||
Latest revision as of 00:02, 30 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jad Z Al Danaf; Rim Halaby
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Overview
The plain chest radiograph has limited utility in identifying right heart failure. It might show evidence of the underlying cause of right heart failure like pulmonary embolism or congenital heart diseases.
Chest X Ray
- The plain chest X-ray has limited utility in identifying right ventricular failure. However, some signs of pulmonary embolism can be evident on the chest X-ray such as: dilation of the pulmonary artery proximal to an embolism with collapse of distal vessels also known as oligemia (Westermark sign), distended azygous vein and a right sided heart enlargement/narrowed retrosternal space on lateral view [1].
- In some cases, a chest X-ray might reveal a mediastinal mass that is impinging over the right side of the heart, which is better assessed with CT scan or an MRI.
- Some radiographic findings can be seen in the setting of congenital heart diseases such as the “egg on a string” shaped heart in transposition of great vessels and the “boot shaped” heart in tetralogy of Fallot [2][3].
References
- ↑ Kevin L. and Barnard M. 2007. Right ventricular failure: Continuing education in anesthesia, critical care and pain. The Board of Management and Trustees of the British Journal of Anesthesia. 7(3).
- ↑ Hiader EA. The boot-shaped heart sign. Radiology, 2008; 246 (1):328-9.
- ↑ Feruson E.C., Krishnamurthy R. and Oldham S.A.A. Classic Imaging signs of congenital cardiovascular abnormalities. RadioGraphics, 2007; 27, 1323-1334.