Академический Документы
Профессиональный Документы
Культура Документы
of the Cardiovascular
System
Methods of Investigations :
).
1234-
5- Catheter Angiography.
6- Cardiovascular nuclear medicine.
1-Cardiac size
What is the cardiothoracic ratio ?
1- Cardiac configuration
Cardiac boundaries on a
chest X ray
CARDIAC ABNORMALITIES
Cardiomegaly
An enlarged heart is indicative of
cardiac disease, but a "normal sized
heart does not imply normality.
For example, significant hypertrophy
does not cause dilatation and
enlargement may not be appreciated
without comparison films.
Ventricular hypertrophy
Enlarged
Left Ventricle
Enlarged
Left Ventricle
IVC
Enlarged
Right Ventricle
Enlarged
Right Ventricle
(lateral CXR)
Right ventricular
enlargement.
Common cause is
cor pulmonale.
Obliterates retro
sternal space.
Fallot tetralogy
Enlarged
Left Atrium
Enlarged
Left Atrium
calcified
mitral
annulus
Left Atrial
enlargement.
Common cause is
mitral valve
disease.
Prominent left
atrial appendage.
Double density
over the right
cardiac border.
Widening of the
carina
Enlarged
Right Atrium
Right atrial
enlargement.
Causes include
lung diseases,
cardiac valve
disease and
pulmonary
embolism.
Bulge at right
cardiac border
Generalized
cardiac
enlargement.
- Usually due
to pericardial
effusion or
cardiomyopath
y.
- Flask shape
heart.
RADIOGRAPHIC FEATURES OF
CONSTRICTIVE PERICARDITIS
Pulmonary venous
hypertension
Calcification of the
cardiac margin.
Coronary Angiography
The Gold Standard technique for
evaluation of coronary arteries,
especially if intervention is planned,
e.g. balloon angioplasty, stenting.
Coronary
Angio
MDCT
A recent technology that uses X-rays to
image slices of patients bodies.
For cardiac imaging, we need a 64-slice
machine or higher.
aortic arch
Tracheal
bifurcation
pulmonary trunk
thoracic aorta
left atrium
left ventricle
pericardial sac
CT AORTIC ANGIOGRAPHY
CT CORONARY ANGIO
ADVANTAGES Vs DISADVANTAGES
Clear definition
and calcium
scoring.
Fast .
Less invasive.
Improved intra
vascular
visualization.
Ionizing radiation
Contrast risk :
allergy and
induced
nephropathy.
Technical errors .
Pulmonary
Angiography
Used for :
- Diagnosing pulmonary
emboli.
- Demonstration of
congenital
anomalies.
Pulmonary Embolism
Very common in patients
confined to bed .
Originating in leg and pelvic
veins or patients with heart
disease .
Appearances
Usually no evident findings on plain films
however in some patients :
Infarct appears as an area of consolidation,
pleural based, indistinguishable from
pneumonia.
On CT a filling defect is seen inside the
lumen of the pulmonary artery.
Increased cardio
thoracic ratio means:
Cardiomegaly
Pericardial effusion
Cardiomyopathy
Non centralised patient
Supine patient
Dilated Cardiomyopathy
Pericardiac effusion
All of the above
Non of the above