Tetralogy of Fallot
Citation, DOI and case data
Recurrent respiratory tract infection, cyanosis and reduced overall activity.
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Enlarged cardiac shadow, with supra-diaphragmatic apex denoting left ventricular hypertrophy.
Prominent pulmonary vasculature centrally, with peripheral oligemia.
Overall boot shaped heart.
AP chest x-ray showed boot shaped heart. With signs highly suggestive of tetralogy of Fallot.
Echocardiogram was requested for confirmation. We relied on the clinical picture and radiographic signs. Propper diagnosis usually based on CT or MR cardiogram.