Atrial septal defect chest x ray: Difference between revisions
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Chest x rays may be used as a diagnostic tool in the evaluation of an [[atrial septal defect]]. As a modality, chest x rays can be limited in diagnostic imaging quality and may often be elected to be used in conjunction with other diagnostic modalities. The chest x-ray may show features suggesting [[cardiomegaly]] (right ventricular and right atrial enlargement), prominent [[pulmonary artery]] segment, and increased pulmonary vascular markings. | Chest x rays may be used as a diagnostic tool in the evaluation of an [[atrial septal defect]]. As a modality, chest x rays can be limited in diagnostic imaging quality and may often be elected to be used in conjunction with other diagnostic modalities. The chest x-ray may show features suggesting [[cardiomegaly]] (right ventricular and right atrial enlargement), prominent [[pulmonary artery]] segment, and increased pulmonary vascular markings. | ||
==Common Findings== | ==Chest X Ray== | ||
===Common Findings=== | |||
Findings on anteroposterior view of chest X-ray that may be seen in [[atrial septal defect]] are <ref name="Abdulla">Abdulla, Ra-id. (2011). Heart Diseases in Children: A Pediatrician's Guide. Springer.</ref> | Findings on anteroposterior view of chest X-ray that may be seen in [[atrial septal defect]] are <ref name="Abdulla">Abdulla, Ra-id. (2011). Heart Diseases in Children: A Pediatrician's Guide. Springer.</ref> | ||
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'''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=== | ||
* Normal appearance of heart vasculature | * Normal appearance of heart vasculature | ||
* Left heart enlargement/[[left atrial enlargement]] | * Left heart enlargement/[[left atrial enlargement]] | ||
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* [[Hypertension|Pulmonary venous hypertension]] | * [[Hypertension|Pulmonary venous hypertension]] | ||
==Imaging== | ===Imaging=== | ||
<div align="left"> | <div align="left"> | ||
<gallery heights="175" widths="175"> | <gallery heights="175" widths="175"> | ||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 13:38, 31 August 2012
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Atrial Septal Defect Microchapters | |
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Atrial septal defect chest x ray On the Web | |
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American Roentgen Ray Society Images of Atrial septal defect chest x ray | |
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Risk calculators and risk factors for Atrial septal defect chest x ray | |
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 be used as a diagnostic tool in the evaluation of an atrial septal defect. As a modality, chest x rays can be limited in diagnostic imaging quality and may often be elected to be used in conjunction with other diagnostic modalities. The chest x-ray may show features suggesting cardiomegaly (right ventricular and right atrial enlargement), prominent pulmonary artery segment, and increased pulmonary vascular markings.
Chest X Ray
Common Findings
Findings on anteroposterior view of chest X-ray that may be seen in atrial septal defect are [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,
- A vertical, modestly curved, density in the right-side of the pericardium, may be visible
- Commonly associated with the sinus venosus atrial septal defect
- Results from the point of insertion of the pulmonary vein into the inferior vena cava
- May cause abnormal densities within the chest x ray
5) Dilatation of the superior vena cava can be seen in sinus venosus
Less Common Findings
- Normal appearance of heart vasculature
- Left heart enlargement/left atrial enlargement
- Pulmonary edema
- Pulmonary venous hypertension
Imaging
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Enlarged right atrial border and mild cardiomegaly.
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Lateral view
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Post repair. Enlarged right atrial border and mild cardiomegaly.
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Post repair. Lateral view.
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ASD. Another patient. Enlarged right atrial border and advanced cardiomegaly.
References
- ↑ Abdulla, Ra-id. (2011). Heart Diseases in Children: A Pediatrician's Guide. Springer.