CARDIAC Dr. Zampaga Flashcards
When will you say if there is hypervasculairity?
Monocle sign
Dilated vessels with distinct margins
Increased Ratio
What are the Non-Cyanotic Shunt anomalies?
ASD
VSD
PDA
What are the steps to look for assessing the heart?
Pulmonary vascularity
Cardiac enlargement:
LV?
RV?
LA?
RA?
Non-cyanotic patient
Diagnosis?
ASD with right RA enlargement
Non-cyanotic patient
Diagnosis?
Pulmonary Vascularity increased?
Yes
LV? - Yes
VSD
Non-cyanotic patient
Diagnosis?
+ Pulmonary vascularity
+ LV enlargement
DX?: PDA
How is it diff from LV?
Prominent Aorta
ASD is common in what age group?
Adults/early adults
VSD is common in what age group?
Children
PDA is common in what age group? why?
Children and adult
Diagnosis?
TGA
Diagnosis?
sign?
TAPVR Type I (Supracardiac)
Type II has no snowman appearance
Diagnosis?
Truncus Type II or III
(Concve MPA)
+ Right sided aorta
Type I have convext MPA
Right sided aorta + Hpyervasuclarity =
Truncus
How mayn % does truncus will have right sided aorta?
35%
What are the hypervascular Cyanotic conditions?
TGA
TAPVR Type I
Truncus
When to say if there is hypovascularity?
Generalized Hyperlucency (pulmonary oigemia)
Diagnosis?
Main Pathology?
Decreased Vascularity
TOF
Main pathology: PS
Small/stenotic valve = concavity of MPA –> obstruction to the outflow = increased pressure of the RV (rounding of the cardiac apex - boot shaped heart)
+ VSD
+ Overriding of the aorta (receive blood from RV and LV) = prominent aorta
Diagnosis?
Hypovascular
Rounding of Cardiac Apex (LV hypertrophy)
Aorta = Right sided, prominent
DX: TOF
How many % does TOF has a right sided aorta?
25%
Right sided aorta + Normal vascularity =
Isolated Right-sided aorta
Diagnosis?
Pulmonic stenosis with PSD (post stenotic dilatation) -
Diagnosis?
Ebstein Anomaly (Boxed shaped heart)
Box = RA + Remnant RV (
What are Cyanotic CHD with diminished vascularity?
What is the next step when you see dextrocardia?
Stomach bubble and Liver shadow = sintus inversus totalis
