Articles

Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.

758 results found
Article

Rhabdomyosarcoma (cardiac)

Cardiac rhabdomyosarcoma is a muscular tumor that arises in the heart. Epidemiology They account for only 4-7% of cardiac sarcomas overall but are the most common cardiac malignancy in infants and children. There is a slight male predilection. Pathology Location Cardiac rhabdomyosarcoma has...
Article

Cardiac conduction devices

Implantable cardiac conduction devices (also known as cardiac implantable electronic devices or CIEDs) are a very common medical device of the thorax, with over one million implanted in the United States of America alone. There are two major types of cardiac conduction devices: pacemakers and a...
Article

Cardiac lipoma

Cardiac lipomas are uncommon benign primary cardiac neoplasms although they are considered the commonest non-myxomatous benign primary cardiac tumor 8. Epidemiology They have no defined age or sex distribution. Clinical presentation They are soft and may grow to a large size without causing ...
Article

Cardiac herniation

Cardiac herniation refers to herniation of the heart outside its expected position. It can be intrathoracic or extrathoracic. Pathology A cardiac herniation secondary to pericardial rupture is rare, but a highly lethal injury with most patients dying before arrival at a hospital. Diagnosis in...
Article

Cardiac fibroma

Cardiac fibromas, also known as cardiac fibromatosis, are benign congenital cardiac tumors that usually manifest in children.  Epidemiology Cardiac fibromas are tumors that primarily affect children (most cases are detected in infants or in utero) with a ratio of 4:1 compared with adults 5. Th...
Article

Cardiac angiosarcoma

Cardiac angiosarcomas are the most common sarcoma involving the heart (see cardiac tumors).  Please refer to the article on angiosarcomas for a general discussion about this entity. Epidemiology They occur slightly more frequently in males.  Clinical presentation Patients usually present wi...
Article

Arrhythmogenic right ventricular cardiomyopathy diagnostic criteria

For the diagnosis of arrhythmogenic right ventricular cardiomyopathy (ARVC) to be made, patients must have either two major criteria, one major and two minor criteria, or four minor criteria. Major criteria global or regional dysfunction and structural alterations: severe dilatation of the ri...
Article

Behçet disease

Behçet disease is a multisystemic and chronic inflammatory vasculitis of unknown etiology. Epidemiology The mean age at which Behçet disease occurs is 20-30 years. The disease is most prevalent in the Mediterranean region, Middle East and East Asia. The highest incidence has been reported in T...
Article

HIV/AIDS (cardiovascular manifestations)

Cardiovascular manifestations are seen with increased frequency in the HIV/AIDS adult population, and include: pericardial effusions dilated cardiomyopathy (prevalence 8-30%) endocarditis: either infective or non-bacterial thrombotic (marantic) which is associated with malignancy or HIV wasti...
Article

Left ventricular pseudoaneurysm

Left ventricular pseudoaneurysms are false aneurysms that result from contained myocardial rupture, and are a rare complication of myocardial infarction (MI). They should not be confused with left ventricular aneurysms, which are true aneurysms containing all the layers (endocardium, myocardium,...
Article

Echogenic intracardiac focus

Echogenic intracardiac focus (EIF) is a relatively common sonographic observation that may be present on an antenatal ultrasound scan. Epidemiology They are thought to be present in ~4-5% of karyotypically normal fetuses. They may be more common in the Asian population 5. Associations trisom...
Article

Technetium-99m agents

Technetium agents based on the technetium-99m (Tc-99m) radioisotope are frequently used agents in medical imaging. A radiopharmaceutical labeled with Tc-99m constitutes a co-ordination complex in which ligands bond to a central atom of Tc-99m by co-ordinate covalent bonds 4 . The radioactive te...
Article

Duke criteria for infective endocarditis

The Duke criteria are a set of clinical criteria set forward for the diagnosis of infective endocarditis For diagnosis the requirement is:  2 major and 1 minor criterion or 1 major and 3 minor criteria or 5 minor criteria For adequate diagnostic sensitivity, transesophageal echocardiography...
Article

Cor triatriatum

Cor triatriatum is an extremely rare and serious congenital cardiac anomaly.  Epidemiology It is thought to account for ~0.1% of all congenital cardiac anomalies 3,4.  Clinical presentation Clinical presentation depends on: degree of stenosis in the fibromuscular membrane the integrity of ...
Article

Papillary fibroelastoma of the heart

Papillary fibroelastomas are rare benign primary cardiac tumors. However, of the primary cardiac tumors, they are one of the commonest to occur in relation to the cardiac valves (may account for 75% of valvular tumors 10).  Epidemiology Its estimated prevalence ranges between <0.01 to 0.33% 5....
Article

Pediatric cardiovascular procedures

A number of pediatric cardiovascular procedures are encountered when reporting pediatric imaging. They include: Blalock-Taussig (BT) shunt classic: end to side subclavian to ipsilateral pulmonary arterial anastomosis modified: graft anastomosis Waterston shunt Sano shunt: right ventricle to...
Article

Fetal echocardiography views

A standard fetal echocardiogram consists of several specific views which can be obtained to optimize visualization of different structures and anomalies. They include: Basic views abdominal situs view / transverse view of abdomen four chamber view left ventricular outflow tract ...
Article

Endocardial fibroelastosis

Endocardial fibroelastosis (EFE) is a rare cardiac condition which is classically described in the pediatric population (typically first two years). It is one of the causes in infants of unexplained heart failure. Epidemiology Associations mitral valve abnormalities: e.g mitral regurgitation ...
Article

Carcinoid heart disease

Carcinoid heart disease, also known as Hedinger syndrome, is a known complication of carcinoid tumors, and is particularly prevalent in patients who develop carcinoid syndrome. Epidemiology Cardiac lesions are present in approximately 50% of patients with carcinoid syndrome 1. Clinical presen...
Article

Mitral valve calcification

Mitral valve calcification can refer to 1 mitral annular calcification (MAC) mitral valve leaflet calcification (MVL) caseous calcification of the mitral annulus
Article

Sinus of Valsalva aneurysm

A sinus of Valsalva aneurysm refers to abnormal dilatation of the sinus of valsalva and is a cause of thoracic aortic dilatation. Sinus of Valsalva aneurysms arise from one of the aortic sinuses. They are either congenital or acquired. Epidemiology There is a male predilection (M:F ratio being...
Article

Differential diagnosis for a small cardiothoracic ratio

A small cardiothoracic ratio (CTR) is defined as <42%/0.42 when assessed on a PA chest radiograph, and is often called small heart syndrome. A pathologically-small heart is also known as microcardia.  It can be due to/associated with a number of entities: adrenal insufficiency, e.g. Addison...
Article

Extracorporeal membrane oxygenation

Extracorporeal membrane oxygenation (ECMO) is used as a modified pulmonary or cardiopulmonary bypass technique in those with severe cardiac and/or respiratory failure refractory to conventional ventilatory support and medical intervention 1,3. There are two access paths for extracorporeal life s...
Article

Delayed myocardial enhancement on MRI (differential)

Delayed myocardial enhancement can occur in cardiac MR assessment due to a number of causes. They include: myocardial ischemia: typically subendocardial and follows a vascular territory 1 non-ischemic cardiomyopathies hypertrophic cardiomyopathy non-ischemic dilated cardiomyopathy arrhythm...
Article

Anomalous left coronary artery from the pulmonary artery

Anomalous left coronary artery from the pulmonary artery (ALCAPA), also known as Bland-White-Garland syndrome (BWG), is a rare congenital coronary artery anomaly and is considered one of the most severe of such anomalies. There are two forms, based on the onset of the disease, each of which has...
Article

Eosinophilic granulomatosis with polyangiitis

Eosinophilic granulomatosis with polyangiitis (EGPA), previously known as Churg-Strauss syndrome, is a small-vessel necrotizing vasculitis usually involving the respiratory tract, and thus also classified under the spectrum of eosinophilic lung disease and as a type of pulmonary angiitis and gr...
Article

Sarcoidosis (cardiac manifestations)

Cardiac involvement of sarcoidosis is a manifestation of sarcoidosis which is often asymptomatic, although can be associated with high mortality 8. Autopsy studies show prevalence of ~25% cardiac involvement, yet only 5-10% are found symptomatic 1,2.  Sarcoidosis is a multisystem disorder chara...
Article

Lutembacher syndrome

Lutembacher syndrome refers to the association of an atrial septal defect (ASD) with mitral stenosis.  Both the defects can be either congenital or acquired. History and etymology It is named after Rene Lutembacher 4.
Article

Eisenmenger complex

Eisenmenger complex is a specific subset of Eisenmenger syndrome, and consists of: ventricular septal defect (VSD) severe pulmonary arterial hypertension resulting in shunt reversal and cyanosis
Article

Enlarged azygos vein

An enlarged/dilated azygos vein may result from a number of physiological as well as pathological causes. The enlarged azygos vein may be seen as a widened right paratracheal/paraspinal stripe on a frontal chest radiograph. Terminology Spelling it "azygous" when referring to the vein is incorr...
Article

Williams syndrome

Williams syndrome (WS), sometimes called Williams-Beuren syndrome, is characterized by some or all of the following features: craniofacial dysmorphism (e.g. elfin facies) oral abnormalities short stature (50% of cases) mild to moderate intellectual disability  supravalvular aortic stenosis ...
Article

Marfan syndrome

Marfan syndrome is a multisystem connective tissue disease caused by a defect in the protein fibrillin 1, encoded by the FBN1 gene. Cardiovascular involvement with aortic root dilatation and dissection is the most feared complication of the disease. Epidemiology The estimated prevalence is aro...
Article

Primary malignant cardiac tumors

Primary malignant cardiac tumors are rare and account for only ~25% of primary cardiac tumors, and only a small proportion of all malignant tumors which involve the heart: direct extension of adjacent tumors or metastatic deposits are far more common. Pathology Histological types include 1:  ...
Article

Primary benign cardiac tumors

Primary benign cardiac tumors are much less common than secondary metastatic deposits. However, they are more likely when a cardiac mass is seen outside of the setting of terminal metastatic disease. Tumors include 1,2: cardiac myxoma most common in adults accounts for ~50% of all primary ben...
Article

Primary cardiac tumors

Primary cardiac tumors are uncommon and comprise only a small minority of all tumors that involve the heart: most are mediastinal or lung tumors that extend through the pericardium and into the heart, or metastases 1. Epidemiology Primary cardiac tumors have an estimated autopsy prevalence of ...
Article

Kommerell diverticulum

Kommerell diverticula occur in some anomalies of the aortic arch system. It usually refers to the bulbous configuration of the origin of an aberrant left subclavian artery in the setting of a right-sided aortic arch. However, it was originally described as a diverticular outpouching at the origi...
Article

Coronary arteries

The coronary arteries arise from the aortic sinuses immediately distal (superior) to the aortic valve and supply the myocardium of the heart with oxygenated blood. The arteries branch to encircle the heart covering its surface with a lacy network, perhaps resembling a slightly crooked crown. Gr...
Article

Right coronary artery

The right coronary artery (RCA) is one of the two main coronary arteries that supply the heart with oxygenated blood. Gross anatomy Origin The right coronary artery arises from its ostium in the right sinus of Valsalva, found between the aortic valve annulus and the sinotubular junction.  C...
Article

Enlarged pulmonary trunk on chest radiography (differential)

The differential of an enlarged pulmonary trunk/main pulmonary artery on chest radiography includes:  normal may appear prominent in young patients especially women projectional rotation lordotic view rotation of the heart pectus excavatum left lower lobe collapse pulmonary arterial hyp...
Article

Pulmonary hypertension (2003 classification)

There are numerous causes of pulmonary hypertension, and thus not surprisingly there have been many classification systems. In 2003, the 3rd World Symposium on PAH met in Venice and produced an updated classification system (this has been further revised in the Dana Point classification of pulm...
Article

Idiopathic pulmonary arterial hypertension

Idiopathic pulmonary arterial hypertension is uncommon, representing only a tiny fraction of all cases of pulmonary arterial hypertension, which has a very long list of secondary causes (see causes of pulmonary arterial hypertension). Terminology Older terms for this entity include primary pul...
Article

Pulmonary hypertension (differential)

Pulmonary hypertension has many causes, and these can be divided in many ways. A simple and systematic approach is to proceed along the cardiopulmonary pulmonary circulation, as causes are found at each site (for a more official classification system see 2003 third world symposium on pulmonary a...
Article

Blalock-Taussig shunt

Blalock-Taussig shunt, also known as Blalock-Thomas-Taussig shunt, is a palliative procedure designed to increase pulmonary arterial blood flow in patients with right ventricular outflow tract obstruction (e.g. tetralogy of Fallot) or during initial staged repair of hypoplastic left heart syndro...
Article

Waterston shunt

A Waterston shunt is a form of palliative surgery performed in patients with tetralogy of Fallot prior to the ability to repair the defect. It consists of a shunt formed between the ascending aorta and the right pulmonary artery. This does not relieve the right ventricular outflow obstruction, ...
Article

Potts shunt

A Potts shunt is a form of palliative surgery performed in patients with tetralogy of Fallot prior to the ability to repair the defect. It consists of a shunt formed between the descending thoracic aorta and the left pulmonary artery. This does not relieve the right ventricular outflow obstruct...
Article

Pink tetralogy of Fallot

Pink tetralogy of Fallot refers to a tetralogy of Fallot in which the degree of right ventricular outflow obstruction is minimal, resulting no significant right to left shunt, and therefore no cyanosis. Symptoms are mild and presentation may be delayed, even into adulthood. See also tetralogy ...
Article

Pentalogy of Fallot

The pentalogy of Fallot is a variant of the more common tetralogy of Fallot, comprising the classic four features with the addition of an atrial septal defect or patent ductus arteriosus: ventricular septal defect (VSD)  right ventricular outlfow tract narrowing or complete obstruction right ...
Article

Cyanotic congenital heart disease

A number of entities can present as cyanotic congenital heart disease. These can be divided into those with increased (pulmonary plethora) or decreased pulmonary vascularity: increased pulmonary vascularity total anomalous pulmonary venous return (TAPVR) (types I and II) transposition of the ...
Article

Acyanotic congenital heart disease

Acyanotic congenital heart disease comprises numerous etiologies, which can be divided into those with increased pulmonary vascularity (pulmonary plethora) and those with normal vascularity: increased pulmonary vascularity ventricular septal defect (VSD) atrial septal defect (ASD) atrioventr...
Article

Normal contours of the cardiomediastinum on chest radiography

A detailed understanding of the structures that make up the normal contours of the heart and mediastinum (cardiomediastinal contour) on chest radiography is essential if abnormalities are to be detected.  Frontal view (PA/AP) Right cardiomediastinal contour From superior to inferior: right p...
Article

Congenital heart disease chest x-ray (an approach)

With the advent of echocardiography, and cardiac CT and MRI, the role of chest x-rays in evaluating congenital heart disease has been largely relegated to one of historical and academic interest. However, they continue to crop up in radiology exams. In most instances a definite diagnosis cannot ...
Article

Double density sign (osteoid osteoma)

The double density sign, also sometimes clumsily referred to as the hotter spot within hot area sign, is a bone scan sign of an osteoid osteoma. It refers to a central focus of intense uptake (the nidus) within a surrounding lower, but nonetheless increased uptake, rim. See also double densit...
Article

Pulmonary artery atresia

Pulmonary artery atresia (or sometimes known as pulmonary atresia) is a congenital cardiovascular anomaly in which there is complete disruption between the right ventricular outflow tract (RVOT) and the pulmonary trunk. Epidemiology The estimated incidence is 1 in 10,000 births. Pathology Th...
Article

Pericarditis

Pericarditis is defined as inflammation of the pericardium. It is normally found in association with cardiac, thoracic or wider systemic pathology and it is unusual to manifest on its own. Epidemiology Associations camptodactyly arthropathy coxa vara pericarditis syndrome Diagnosis The diag...
Article

Restrictive cardiomyopathy

Restrictive cardiomyopathy is the least common subtype of cardiomyopathy and is characterized by a marked decrease in ventricular compliance.  Clinical presentation Patients can present with symptoms and signs of left ventricular failure and/or right ventricular failure 9.  Pathology It is p...
Article

Intraventricular

Intraventricular is a term used to denote lesions/processes that occur within either the ventricles of the brain or the ventricles of the heart.  In both cases, most lesions actually arise from the surrounding brain parenchyma/heart muscle and grow exophytically into the ventricles.  See also ...
Article

Pericardial effusion

Pericardial effusions occur when excess fluid collects in the pericardial space (a normal pericardial sac contains approximately 30-50 mL of fluid). Epidemiology There is no single demographic affected, as there are many underlying causes of pericardial effusion. Clinical presentation Clinic...
Article

Rheumatic heart disease

Rheumatic heart disease (not to be confused with rheumatoid heart disease) may refer to either the acute cardiac involvement or chronic cardiac sequelae following rheumatic fever. Carditis is a major Revised Jones criterion of rheumatic fever. Epidemiology Risk factors include: socioeconomic ...
Article

Cardiac rhabdomyoma

Cardiac rhabdomyomas are a type of benign myocardial tumor and are considered the most common fetal cardiac tumor. They have a strong association with tuberous sclerosis. Epidemiology Cardiac rhabdomyomas are often multiple and can represent up to 90% of cardiac tumors in the pediatric populat...
Article

Mustard repair

The Mustard repair is a technique to correct transposition of the great arteries (TGA), and involves: resection of atrial septum creation of an atrial baffle with a prosthetic material usually. 1,2 Rationale Transposition of the great arteries involves a discordance between the ventricles a...
Article

Arrhythmogenic right ventricular cardiomyopathy

Arrhythmogenic right ventricular cardiomyopathy (ARVC), also referred to as arrhythmogenic right ventricular dysplasia (ARVD) or simply arrhythmogenic cardiomyopathy, is a cardiomyopathy that is one of the more common causes of sudden cardiac death in young patients.  Epidemiology The estimate...
Article

Congenital pulmonary stenosis

Congenital pulmonary stenosis refers to congenital narrowing of the right ventricular outflow tract, pulmonary valve, or pulmonary artery. See pulmonary valve stenosis for a general discussion about this valvulopathy. Epidemiology The estimated incidence is 1 in 2000 births. Associations Co...
Article

Congenital aortic stenosis

Congenital aortic stenosis broadly refers to a congenital narrowing of the aortic lumen. Although the term can mean narrowing at any point, it often relates to a narrowing of the aortic valve. As a broad group, there can be some overlap with ascending aortic coarctation depending on the definiti...
Article

Kawasaki disease

Kawasaki disease is a small to medium vessel vasculitis predominantly affecting young children. It can affect any organ but there is a predilection for the coronary vessels. Epidemiology Japan has the highest incidence in the world, with an annual incidence of 3 per 1000 children under the age...
Article

Double outlet right ventricle

Double outlet right ventricle (DORV) is a congenital cardiac anomaly where both the aorta and pulmonary trunk arise from the morphologically right ventricle. It is reported to account for ~2% of congenital cardiac defects 1. It is usually classed as a conotruncal anomaly. There is almost always ...
Article

Cardiomyopathy (WHO/ISFC 1995 classification)

Cardiomyopathy classification separates the various cardiomyopathies into several subtypes. Cardiomyopathy is defined as a "disease of the myocardium with associated cardiac dysfunction". It was initially classified according to the 1995 World Health Organizatiοn / International Society and Fed...
Article

Hypoplastic left heart syndrome

Hypoplastic left heart syndrome (HLHS) is a cyanotic congenital cardiac anomaly where affected individuals can have profound cyanosis and cardiac failure. It is one of the commonest causes for a neonate to present with congestive cardiac failure and the 4th most frequent cardiac anomaly to mani...
Article

Polyarteritis nodosa

Polyarteritis nodosa is a systemic inflammatory necrotizing vasculitis that involves small to medium-sized arteries (larger than arterioles).  Epidemiology Polyarteritis nodosa is more common in males and typically presents around the 5th to 7th decades. 20-30% of patients are hepatitis B anti...
Article

Total anomalous pulmonary venous return

Total anomalous pulmonary venous return (TAPVR) is a cyanotic congenital heart anomaly with abnormal drainage anatomy of the entire pulmonary venous system. This contrasts with partial anomalous pulmonary venous return (PAPVR) where only part of the pulmonary venous anatomy is abnormal. In TAPV...
Article

Truncus arteriosus

Truncus arteriosus is a cyanotic congenital heart anomaly in which a single trunk supplies both the pulmonary and systemic circulation, instead of a separate aorta and a pulmonary trunk. It is usually classified as a conotruncal anomaly. It accounts for up to 2% of congenital cardiac anomalies ...
Article

Tricuspid atresia

Tricuspid atresia is a cyanotic congenital cardiac anomaly which is characterized by agenesis of the tricuspid valve and right ventricular inlet. There is almost always an obligatory intra-atrial connection through either an ASD or patent foramen ovale (PFO) in order for circulation to be comple...
Article

Transposition of the great arteries

Transposition of the great arteries (TGA), also known as transposition of the great vessels (TGV), is the most common cyanotic congenital cardiac anomaly presenting during the newborn period, with cyanosis in the first 24 hours of life. It occurs as a result of ventriculoarterial discordance, w...
Article

Heart

The heart is a hollow, muscular organ of the middle mediastinum, designed to pump oxygenated blood around the systemic circulation and deoxygenated blood around the pulmonary circulation. Gross anatomy The heart has a somewhat pyramidal form and is enclosed by the pericardium. Its base (roughl...
Article

Ebstein anomaly

Ebstein anomaly is an uncommon congenital cardiac anomaly, characterized by a variable developmental anomaly of the tricuspid valve. Epidemiology The anomaly accounts for only ~0.5% of congenital cardiac defects 6,7, although it is the most common cause of congenital tricuspid regurgitation. T...
Article

Tetralogy of Fallot

Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart condition with many cases presenting after the newborn period. It has been classically characterized by the combination of ventricular septal defect (VSD), right ventricular outflow tract obstruction (RVOTO), overriding aorta...
Article

Patent ductus arteriosus

Patent ductus arteriosus or arteriosum (PDA) is a congenital cardiac anomaly where there is persistent patency of the ductus arteriosus, a normal connection of the fetal circulation between the aorta and the pulmonary arterial system that develops from the 6th aortic arch. Epidemiology Patent ...
Article

Atrioventricular septal defect

Atrioventricular septal defects (AVSDs), also known as atrioventricular canal defects or endocardial cushion defects, comprise a relatively wide range of defects involving the atrial septum, ventricular septum, and one or both of the tricuspid or mitral valve. They can represent 2-7% of congenit...
Article

Holt-Oram syndrome

Holt-Oram syndrome (HOS) is an autosomal dominant syndrome that results in congenital heart defects and upper limb anomalies:  congenital heart defects  atrial septal defect (ASD) (commonest cardiac defect 4) ventricular septal defect (VSD) aortic coarctation upper limb...
Article

Ventricular septal defect

Ventricular septal defects (VSD) represent a hole or pathway in the interventricular septum that allows for communication between the right and left ventricles. It typically results in a left-to-right shunt. Epidemiology They represent one of the most common congenital cardiac anomalies and ma...
Article

Causes of pulseless electrical activity (mnemonic)

Pulseless electrical activity is a very disconcerting emergency medical scenario with very high mortality unless its etiology can be quickly ascertained and corrected. A mnemonic to remember the different causes of pulseless electrical activity is: MAD (triple H) CAT Mnemonic M: massive pulmo...
Article

Hypertrophic cardiomyopathy

Hypertrophic cardiomyopathy (HCM) is a type of cardiomyopathy defined by left ventricular hypertrophy which cannot otherwise be explained by another cardiac or systemic disease. It is the leading cause of sudden cardiac death in infants, teenagers, and young adults. Terminology Although hypert...
Article

Dilated cardiomyopathy

Dilated cardiomyopathy (DCM) is defined as left ventricular chamber dilation with decreased systolic function (FEVG <40%) in the absence of coronary artery disease or conditions that impose a chronic pressure overload. There may also be right ventricular dysfunction. Causes are related to intrin...
Article

Tuberous sclerosis (diagnostic criteria)

The tuberous sclerosis diagnostic criteria have been developed to aid the diagnosis of tuberous sclerosis and have been updated in 2012 by the International Tuberous Sclerosis Complex Consensus Group (at time of writing - 2019) 1.  Criteria Genetic criteria The identification of either a TSC1...
Article

Atrial septal defect

Atrial septal defect (ASD) is the second most common congenital heart defect after ventricular septal defects (VSDs) and the most common to become symptomatic in adulthood. They are characterized by an abnormal opening in the atrial septum allowing communication between the right and left atria...
Article

Saddle pulmonary embolism

Saddle pulmonary embolism commonly refers to a large pulmonary embolism that straddles the bifurcation of the pulmonary trunk, extending into the left and right pulmonary arteries. If large enough, it can completely obstruct both left and right pulmonary arteries resulting in right heart failur...
Article

Page kidney

Page kidney, or Page phenomenon, refers to systemic hypertension secondary to extrinsic compression of the kidney by a subcapsular collection, e.g. hematoma, seroma, or urinoma. Clinical presentation Patients present with hypertension, which may be recognized acutely after an inciting event or...
Article

Fibromuscular dysplasia

Fibromuscular dysplasia (FMD) is a heterogeneous group of vascular lesions characterized by idiopathic, non-inflammatory, and non-atherosclerotic angiopathy of small and medium-sized arteries. Epidemiology The prevalence is unknown 7. It is most common in young women with a female to male rati...
Article

Tuberous sclerosis

Tuberous sclerosis (TS), also known as tuberous sclerosis complex (TSC) or Bourneville disease, is a phakomatosis (neurocutaneous disorder) characterized by the development of multiple benign tumors of the embryonic ectoderm (e.g. skin, eyes, and nervous system). Epidemiology Tuberous sclerosi...
Article

Thoracic aorta

The thoracic aorta is the most superior division of the aorta and is divided into three sections: ascending aorta aortic arch descending aorta The thoracic aorta begins at the aortic valve, located obliquely just to the left of the midline at the level of the third intercostal space. It term...
Article

Stanford classification of aortic dissection

The Stanford classification, along with the DeBakey classification, is used to separate aortic dissections into those that need surgical repair, and those that usually require only medical management 7. Both the Stanford and DeBakey systems can be used to describe all forms of an acute aortic s...
Article

Situs inversus

Situs inversus, (rare plural: sitūs inversi) short form of the Latin “situs inversus viscerum”, is a term used to describe the inverted position of chest and abdominal organs. Terminology The condition is called situs inversus totalis when there is a total transposition of abdominal and thorac...
Article

Scleroderma

Scleroderma, also known as systemic sclerosis, is an autoimmune connective tissue disorder characterized by multisystem fibrosis and soft tissue calcification. As such, it affects many separate organ systems, which are discussed separately: musculoskeletal manifestations of scleroderma pulmona...
Article

Rheumatic fever

Rheumatic fever is an illness caused by an immunological reaction following group A streptococcal infection.  Epidemiology Risk factors include: children and adolescents aged 5 to 15 years developing nations where antibiotic prescription is low 1 poverty, overcrowding Clinical presentation...

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.