Illustrated Imaging Essay on
Congenital Heart Diseases:
Multimodality Approach Part III:
Cyanotic Heart Diseases and
Complex Congenital Anomalies
Published: July 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/.8210
Venkatraman Bhat, Vinay Belaval, Karthik Gadabanahalli, Vimal Raj, Sejal Shah
1. Director and Head, Department of Radiology and Imaging Services, Narayana Health, Narayana Hrudayalaya,
Multispeciality Hospital-Shaw Mazumdar Medical Centre, Bengaluru, Karnataka, India.
2. Junior Consultant, Department of Radiology and Imaging Services, Narayana Health, Narayana Hrudayalaya,
Multispeciality Hospital-Shaw Mazumdar Medical Centre, Bengaluru, Karnataka, India.
3. Consultant, Department of Radiology and Imaging Services, Narayana Health, Narayana Hrudayalaya,
Multispeciality Hospital-Shaw Mazumdar Medical Centre, Bengaluru, Karnataka, India.
4. Consultant, Department of Radiology and Imaging Services, Narayana Health, Narayana Hrudayalaya,
Multispeciality Hospital-Shaw Mazumdar Medical Centre, Bengaluru, Karnataka, India.
5. Senior Consultant, Department of Pediatric Cardiology, Narayana Health,
Narayana Hrudayalaya, Bengaluru, Karnataka, India.
Correspondence
Dr. Venkatraman Bhat,
309, Greenwoods Apt, Royal Gardenia, Bommasandra, Bangalore-560099, Karnataka, India.
E-mail: bvenkatraman@gmail.com
From the stand point of radiographic analysis most of the complex cyanotic congenital heart diseases (CHD), can be divided into those associated with decreased or increased pulmonary vascularity. Combination of a specific cardiac configuration and status of lung vasculature in a clinical context allows plain film diagnosis to be predicted in some CHD. Correlation of the position of the cardiac apex in relation to the visceral situs is an important information that can be obtained from the plain film. This information helps in gathering information about the atrio-ventricular, ventricular arterial concordance or discordance. Categorization of the cyanotic heart disease based on vascularity is presented below. Thorough understanding of cardiac anatomy by different imaging methods is essential in understanding and interpreting complex cardiac disease. Basic anatomical details and background for interpretation are provided in the previous parts of this presentation.
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