Congenital HEART defect?// What to look for on the CXR?!!!

A boot shaped heart? Generous cardiac size? Egg on a string? Wet lungs in a PDA? Generous heart size in a VSD? What do all these terms mean? In this video we go over all the CLUES you can get that this is actually a cardiac disease from the Chest X-ray.
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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References:
https://radiologyassistant.nl/chest/c...
https://radiologykey.com/heart-size-o...
ment
https://medlineplus.gov/ency/article/...
Devera J, Licandro F, Ramos J, et al. (February 23, 2021) Situs Inversus Totalis in the Neonatal Setting. Cureus 13(2): e13516. doi:10.7759/cureus.13516
Approach to a newborn with suspected CHD - Scientific Figure on ResearchGate. Available from: https://www.researchgate.net/figure/C...
https://commons.wikimedia.org/wiki/User:
LiliCharlie
https://www.bcm.edu/radiology/cases/p...
Altun, Gürkan & Babaoglu, Kadir & Binnetoğlu, Fatih & Kavas, Nazan & Arısoy, Ayşe. (2013). Functional pulmonary atresia in newborn with normal intracardiac anatomy: Successful treatment with inhaled nitric oxide and pulmonary vasodilators. Annals of pediatric cardiology. 6. 83-6. 10.4103/0974-2069.107243.
Two-view chest x-ray series demonstrates a right-sided aortic arch. Frontal view (A) shows a right-sided aortic arch ( white arrow ), a mild impression upon the right side of the lower trachea (black arrowheads) , and mild deviation of the lower trachea to the left; these tracheal findings confirm the presence of a right-sided aortic arch.
7 week old
1. Biermann D, Holst T, Hüners I et al. Right Aortic Arch Forming a True Vascular Ring: A Clinical Review. Eur J Cardiothorac Surg. 2021;60(5):1014-21. doi:10.1093/ejcts/ezab225
Case courtesy of Dr Vincent Tatco, Radiopaedia.org, rID: 43062
Rao PS (January 2009). "Diagnosis and management of cyanotic congenital heart disease: part I". Indian J Pediatr. 76 (1): 57–70. doi:10.1007/s12098-009-0030-4. PMID 193910
Case courtesy of Dr Vincent Tatco, Radiopaedia.org, rID: 40835
Pulmonary hypertension associated with congenital heart disease; clinical decision scenario - Scientific Figure on ResearchGate. Available from: https://www.researchgate.net/figure/C...
https://radiopaedia.org/cases/ventric... Uploaded by: Frank Gaillard




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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.