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.

418 results found
Article

Parachute mitral valve

A parachute mitral valve is a valvular congenital abnormality usually identified in infants or young children though is can present later in adulthood. Pathology Parachute mitral valves occur when all the chordae tendineae are attached to a single papillary muscle origin. Unlike the normal sit...
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Partial anomalous pulmonary venous return

Partial anomalous pulmonary venous return (PAPVR), also known as partial anomalous pulmonary venous connection (PAPVC), is a rare congenital cardiovascular condition in which some of the pulmonary veins, but not all, drain into the systemic circulation rather than in the left atrium. Clinical p...
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Passive hepatic congestion

Passive hepatic congestion, also known as congested liver in cardiac disease, describes the stasis of blood in the hepatic parenchyma, due to impaired hepatic venous drainage, which leads to dilation of central hepatic veins and hepatomegaly.  Passive hepatic congestion is a well-studied result...
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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 PDAs oc...
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Patent foramen ovale

A patent foramen ovale (PFO) is a type of atrial septal defect in which there is channel-like communication between the atria through an unfused fossa ovale. Gross anatomy The foramen ovale in the interatrial septum normally develops into the fossa ovalis when the flaps of the atrial septa pri...
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Pectinate muscles

The pectinate muscles are "teeth of a comb" shaped parallel muscular columns that are present on the inner wall of the right and left atria. The right atrium has thick and coarse pectinate muscles while these are few smooth and thinner in the left atrium. History and etymology The term is der...
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Pentalogy of Fallot

The pentalogy of Fallot is a variant of the more common tetralogy of Fallot, comprising the classical four features with the addition of an atrial septal defect or patent ductus arteriosus The five features therefore are: ventricular septal defect (VSD)  right ventricular outlfow tract narro...
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Pericardial agenesis

Pericardial agenesis is a rare condition where there is the absence of the pericardium to varying degrees. If it is only a small portion of the pericardium that is absent it is known as a pericardial defect. Epidemiology According to a surgical and pathological series, the prevalence (inclusiv...
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Pericardial cyst

Pericardial cysts are uncommon benign congenital anomalies of the anterior and middle mediastinum. Clinical presentation Usually asymptomatic and discovered incidentally although occasionally may present with chest pain and dyspnoea. Pathology They are thought to often result from aberration...
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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 a pericardial effusion. Clinical presentation Clin...
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Pericardial haemangioma

Pericardial haemangioma is a location specific rare subtype of cardiac haemangioma which arises from either the parietal or visceral (commoner 3) pericardial layers.  Treatment and prognosis It is a benign tumour. Treatment option vary from monitoring to resection. See also pericardial tumou...
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Pericardial ligaments

The pericardial ligaments is a name given to a group of variable fibrous ligaments or adhesions that connect the pericardium to adjacent structures. These ‘ligaments’ tether the fibrous pericardium to it's surrounds, hence movements of the chest wall and diaphragm  influence the position of the ...
Article

Pericardial lipoblastoma

Pericardial lipoblastomas are rare benign tumours that usually occur in children less than 3 years of age. They originate from embryonic fat cells and are divided into two forms, based on location 1: superficial form: well-circumscribed and well-encapsulated deep form: not well-circumscribed a...
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Pericardial lipoma

Pericardial lipomas are slowly growing benign tumours of the pericardium that are asymptomatic unless large in size, where they can cause pressure symptoms. Radiographic features Echocardiography Tends to be echogenic structure adjacent or inside the pericardium. CT Seen as a fatty attenuat...
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Pericardial mesothelioma

Pericardial mesothelioma refers to a mesothelioma arising primarily from the pericardium.  Epidemiology They are rare and are only thought to account for ~0.7% of all malignant mesotheliomas. There is male to female predominance of approximately 3:1. Clinical presentation The presentation of...
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Pericardial recesses

The pericardial recesses are small spaces in the pericardial cavity arising from the transverse pericardial sinus that are formed by the reflections of the pericardium. Pericardial fluid can pool in these recesses, mimicking mediastinal lymph nodes or pathology. There are several pericardial re...
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Pericardial space

The pericardial space or cavity is the fluid-filled space in between the parietal and visceral layers of the serous pericardium. In normal conditions it contains only a small amount of serous pericardial fluid, usually 15-20 mL. Related pathology A pericardial effusion is the pathological accu...
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Pericardial tumours

There are a number of tumours that can involve the pericardium. They include primary pericardial tumours primary pericardial mesothelioma pericardial sarcoma(s) pericardial liposarcoma pericardial fibrosarcoma pericardial fibroma primary pericardial lymphoma pericardial haemangioma peri...
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Pericardial window

Pericardial window is a procedure performed to create a fistula or "window" from the pericardial space to the pleural space. It is done to allow a pericardial effusion to drain the chest cavity in order to relieve situations with increased pressures such as with cardiac tamponade.
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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. Pathology In general, infection is the most common cause of pericarditis. Infection accounts for two-thir...
Article

Pericardium

The pericardium is a conical, flask-like, fibroserous sac which contains the heart and the roots of the great vessels and defines the middle mediastinum.  Gross anatomy The pericardium is made of two sacs in one. The outer sac is the fibrous pericardium and the inner sac is the double-layered ...
Article

Peri-partum/post-partum cardiomyopathy

Peri-partum/post-partum cardiomyopathy is a dilated cardiomyopathy that may occur in the last trimester of pregnancy through the first several months post-partum. Pathology The pathogenesis of post-partum cardiomyopathy is uncertain, with genetic factors, sympathetic tone, hormones, and malnut...
Article

PET-CT indications

PET-CT is a combination of cross-sectional anatomic information provided by CT and the metabolic information provided by positron emission tomography (PET). PET is most commonly performed with 2-[F-18]fluoro-2-deoxy-D-glucose (FDG). Fluorine-18 (F-18) is an unstable radioisotope and has a half-...
Article

PHACE syndrome

PHACE syndrome, also known as cutaneous haemangioma–vascular complex syndrome or Pascual-Castroviejo type II syndrome, is a phakomatosis that comprises of: P: posterior fossa malformations (e.g. Dandy-Walker malformation) H: haemangiomas A: arterial anomalies C: coarctation of the aorta and ...
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

Pneumopericardium

Pneumopericardium represents air within the pericardium, thus surrounding the heart.  Aetiology Underlying causes include: positive pressure ventilation thoracic surgery/pericardial fluid drainage penetrating trauma blunt trauma (rare) infectious pericarditis with gas-producing organisms ...
Article

Polyarteritis nodosa

Polyarteritis nodosa (PAN) is a systemic inflammatory necrotising vasculitis that involves small to medium sized arteries (larger than arterioles).  Epidemiology Polyarteritis nodosa (PAN) is commoner in males and typically presents around the 5th to 7th decades.  Twenty to thirty percent of p...
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Porcelain left atrium

Porcelain left atrium, also known as coconut left atrium, is a term used when a large part of or the entire left atrial wall becomes calcified. It can occur as a rare consequence of endocarditis (with underlying rheumatic heart disease). It has also been described in the setting of end-stage ren...
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Postcaval recess

The postcaval recess is one of the pericardial recesses forming a small space within the pericardium, which arises from the transverse pericardial sinus. It is located posterior to the superior vena cava and superior to the right superior pulmonary vein. It may mimic mediastinal lymphadenopathy...
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Posterior left ventricular artery

The posterior left ventricular (PLV) artery, also known as the posterolateral artery (PLA), is a terminal branch of the coronary arterial system supplying the inferior portion of the heart. It usually arises from the right coronary artery (in a right dominant circulation) but can less commonly a...
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Posterior vein of the left ventricle

The posterior vein of the left ventricle is a vein of the heart which courses over the inferior wall of the left ventricle and drains into the coronary sinus to the left of where the middle cardiac vein drains into the sinus. It drains, not unsurprisingly, the inferior wall of the left ventricle.
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Pott shunt

A Pott 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 obstructi...
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Primary benign cardiac tumours

Primary benign cardiac tumours 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. Tumours include 1-2: cardiac myxoma most common in adults accounts for ~50% of all primary be...
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Primary cardiac tumours

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

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

Prosthetic cardiac valves on chest x-ray (an approach)

Prosthetic cardiac valves are a routine finding on chest X-ray. The frequency and degree of exposure is greatest in larger hospitals with cardiothoracic centres, however, prosthetic valves are commonplace universally. Recognition of which valve has been replaced, any other related cardiothoraci...
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Prosthetic heart valve

Prosthetic heart valves are common. The four valves of the heart may all be surgically replaced. However, aortic and mitral valves are the most commonly replaced. Replacements may be tissue or metallic valves, only the latter being visualised on imaging investigations. Sometimes the annulus alo...
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Pseudocoarctation of the aorta

Pseudocoarctation of the aorta is a very rare anomaly characterised by kinking or buckling of the descending aorta at the level of the ligamentum arteriosum without a pressure gradient across the lesion. Pathology It is thought to be of congenital origin, and characterised by elongation and ki...
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Pulmonary artery atresia

Pulmonary artery atresia (or sometimes known as pulmonary atresia) is one of 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. Patholog...
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Pulmonary artery banding

Pulmonary artery banding is a palliative surgical procedure used to decrease excessive pulmonary blood flow. It is usually used for neonates and infants with left-to-right shunts unable to withstand complete surgical correction.   Some indications include: single ventricle multiple ventricula...
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Pulmonary atresia with intact interventricular septum

Pulmonary atresia with intact interventricular septum (PA-IVS) is a subtype of pulmonary atresia that presents as cyanotic congenital heart disease.  Pathology PA-IVS is the combination of obstruction of the pulmonary outflow tract from pulmonary valve atresia without a ventricular septal defe...
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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...
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Pulmonary hypertension (2008 classification)

The classification system for pulmonary hypertension was revised at the 4th World Symposium on Pulmonary Hypertension held in Dana Point, California, in 2008 1. This system is as follows: group 1: pulmonary arterial hypertension 1.1: idiopathic pulmonary arterial hypertension 1.2: heritable ...
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Pulmonary hypertension (2013 classification)

In 2013, the 5th World Symposium on pulmonary hypertension took place in Nice, France and modified the classification system for pulmonary hypertension.  The modified system divides pulmonary hypertension into five groups: group 1: pulmonary arterial hypertension (disorders of the pulmonary ar...
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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...
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Pulmonary valve

The pulmonary valve is one of the four cardiac valves. It is the semilunar valve that allows blood to exit the right ventricle. It opens during systole and closes during diastole. The valve has anterior, left and right cusps, the bases of which attach around the valve orifice to a fibrous ring o...
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Pulmonary valve regurgitation

Pulmonary valve regurgitation, also known as pulmonary valve insufficiency or pulmonary valve incompetence, is a valvulopathy that describes leaking of the pulmonary valve diastole that causes blood to flow in the reverse direction from the pulmonary trunk and into the right ventricle. Epidemio...
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Pulmonary valve stenosis

Pulmonary valve stenosis, or pulmonic valve stenosis, is a valvulopathy that describes narrowing of the opening of the pulmonary valve between the pulmonary trunk and the right ventricle. Epidemiology Pulmonary stenosis is nearly always (95%) congenital, and therefore primarily affects the pae...
Article

Pulmonary vein stenosis

Pulmonary vein stenosis refers to a spectrum of conditions characterised by narrowing of the pulmonary veins. It can be congenital or acquired. primary pulmonary vein stenosis - occurs in children secondary pulmonary vein stenosis - occurs in adults and usually associated with some identifiabl...
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Quadricuspid aortic valve

Quadricuspid aortic valve (QAV) is a rare cardiac valvular anomaly where the aortic valve has four cusps, instead of the usual three. Epidemiology The estimated incidence on necropsy at ~1 in 8,000. While the incidence of QAV on 2D echocardiography has been reported to range between 0.01-0.04%...
Article

Radiation-induced heart disease

Radiation-induced heart disease, also known as radiation cardiotoxicity, describes an uncommon constellation of potential cardiac complications of mediastinal radiotherapy. Epidemiology The demographics of patients affected by radiation-induced heart disease are those of the underlying conditi...
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Raghib syndrome

Raghib syndrome is a rare developmental complex. It consists of: persistence of the left superior vena cava coronary sinus ostial atresia atrial septal defect It has also been associated with other congenital malformations including ventricular septal defects, enlargement of the tricuspid an...
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Rapid ultrasound in shock

The Rapid ultrasound in shock (RUSH) protocol is a structured point-of-care ultrasound examination performed at the time of presentation of a shocked patient. It is a more detailed and longer exam than the FAST scan, with the aim to differentiate between hypovolemic, cardiogenic, obstructive and...
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RASopathies

RASopathies are a class of developmental disorders caused by germline mutations in genes that encode for components or regulators of the Ras/mitogen activated protein kinase (MAPK) pathway. Epidemiology As a group, RASopathies represent one of the most common malformation syndromes, with an in...
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Rastelli procedure

The Rastelli procedure is a surgical procedure to correct certain combinations of cardiovascular defects in patients with cyanotic congenital heart disease. Rationale The operation is based on a redirection of ventricular outflows using an intracardiac baffle that tunnels the left ventricle to...
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Restrictive cardiomyopathy

Restrictive cardiomyopathy is the least common subtype of cardiomyopathy and is characterised 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...
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Rhabdomyosarcoma (cardiac)

Cardiac rhabdomyosarcoma is a muscular tumour 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 ha...
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Rheumatic fever

Rheumatic fever is an illness caused by an immunological reaction following group A streptococcal infection.  Epidemiology Rheumatic fever is most common in children aged 5 to 15 years. It is most common in developing nations where antibiotic prescription is low 1. Clinical presentation join...
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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 Jones criterion of rheumatic fever. Epidemiology An increased prevalence in females have been ...
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Rheumatoid arthritis

Rheumatoid arthritis (RA) is a chronic autoimmune multisystemic inflammatory disease which affects many organs but predominantly attacks the synovial tissues and joints. Epidemiology The overall prevalence is 0.5-1% and the disease is 2-3 times more common in women 1. Onset is generally in ad...
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Right atrial enlargement

Right atrial enlargement is less common, and harder to delineate on chest radiograph, than left atrial enlargement. Pathology Causes Enlargement of the right atrium can result from a number of conditions, including: raised right ventricular pressures pulmonary arterial hypertension cor pul...
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Right atrial line

The right atrial (RA) line monitors RA pressure and is indicative of right ventricular function, preload and afterload. The RA line enters the right atrium through the right atrial appendage, and always exits the right side of the chest medial to the left atrial line. It is typically a double lu...
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Right atrium

The right atrium (RA) is one of the four chambers of the human heart, and is the first chamber to receive deoxygenated blood returning from the body. It plays an important role in originating and regulating the conduction of the heart. Gross anatomy The right atrium receives deoxygenated blood...
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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 It is a branch of the ascending aorta, with its normal origin in the right aortic sinus, just superior to the aortic valve Course The RCA courses to th...
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Right heart strain

Right heart strain (or more precisely right ventricular strain) is a term given to denote the presence of right ventricular dysfunction usually in the absence of an underlying cardiomyopathy. It can manifest as an acute right heart syndrome. Pathology Right heart strain can often occur as a re...
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Right pulmonary venous recess

The right pulmonary venous recess is one of the pericardial recesses forming a small space within the pericardium. It arises from the pericardial cavity proper located between the right superior and inferior pulmonary veins, posterior to the left atrium. It invaginates towards the oblique perica...
Article

Right pulmonic recess

The right pulmonic recess is one of the pericardial recesses forming a small space within the pericardium, which arises from the transverse pericardial sinus. It is located posterior to the right pulmonary artery and anterior to the oesophagus. It may mimic mediastinal lymphadenopathy or a bron...
Article

Right ventricle

The right ventricle is the most anterior of the four heart chambers. It receives deoxygenated blood from the right atrium and pumps it into the pulmonary circulation. During diastole, blood enters the right ventricle through the atrioventricular orifice through an open tricuspid valve. During sy...
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Right ventricular dysfunction

Right ventricular dysfunction usually results from either pressure overload, volume overload, or a combination.  It occur in a number of clinical scenarios, including: pressure overload   cardiomyopathies: ischemic, congenital valvular heart disease arrhythmias sepsis It can manifest as r...
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Right ventricular enlargement

Right ventricular enlargement can be the result of a number of conditions, including: pulmonary valve stenosis pulmonary arterial hypertension atrial septal defect (ASD)  ventricular septal defect (VSD) tricuspid regurgitation dilated cardiomyopathy anomalous pulmonary venous drainage te...
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Right ventricular outflow tract view (fetal echocardiogram)

The right ventricular outflow tract (RVOT) view (or three vessel view/3VV) is one of the standard views in a fetal echocardiogram. It is a long axis view of the heart, highlighting the path from the right ventricle into the pulmonary trunk (right ventricular outflow tract). In this view, the r...
Article

Ritscher-Schinzel syndrome

Ritscher-Schinzel syndrome (RTSC), also known as 3C (cranio-cerebello-cardiac) syndrome, is a rare entity with a variable spectrum of CNS (primarily cerebellar), craniofacial, and congenital heart defects. craniofacial cleft palate ocular coloboma prominent occiput low-set ears hypertelori...
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Ross procedure

Ross procedure involves the use of a pulmonary homograft for surgical aortic valve replacement. Indications It can be used to treat a broad array of aortic valve pathologies, often aortic stenosis. Contraindications multivessel coronary artery disease multiple valvular pathologies in which...
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...
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Sano shunt

The Sano shunt is a palliative surgical technique sometimes used as a step in Norwood procedure for hypoplastic left heart syndrome. The procedure involves placement of an extracardiac conduit between the right ventricle and main pulmonary artery stump. This technique prevents the reduced diast...
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Sarcoidosis (cardiac manifestations)

Cardiac manifestations of sarcoidosis are present in up to 25% of patients with sarcoidosis, but only 5-10% of patients are symptomatic 1-2. Sarcoidosis is a multisystem disorder characterised by the presence of non-caseating granulomas. For a general discussion of this condition please refer t...
Article

Scleroderma

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

Secondary cardiac neoplasm or cardiac metastasis refers to a secondary malignant tumour involving any structural component of the heart. It represents spread of a primary neoplasm via lymphatic, haematogenous, or endovascular pathways, or potentially by direct extension from an adjacent tissue 5...
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Senning repair

The Senning repair is one of two "atrial switch" procedures used to functionally correct transposition of the great arteries (the other being the Mustard repair).  The two repairs share a similar fundamental principle. Systemic blood flow is redirected away from the right ventricle and toward t...
Article

Septal bounce

Septal bounce is a sign of ventricular interdependence on echocardiography, cardiac CT, and cardiac MRI, manifested by reduced or paradoxical interventricular septal movement during diastole (i.e. initial septal movement towards and then away from the left ventricle) during early diastole second...
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Septal branches of the left anterior descending artery

The septal branches of the left anterior descending artery supply blood flow to the interventricular septum of the heart. Origin These are branches from the left anterior descending artery Supply They provide the main blood supply to the anterior interventricular septum. A smaller posterior ...
Article

Shepherd's crook right coronary artery

A shepherd’s crook right coronary artery is variant in the terms of the course of the right coronary artery. While the RCA origin is normal it is characterised by a tortuous and high course, usually just after its origin from the aorta. Its prevalence is estimated at approximately 5%. While ofte...
Article

Shmoo sign

Shmoo sign refers to the appearance of a prominent, rounded left ventricle and dilated aorta on a plain AP chest radiograph giving the appearance of Shmoo, a fictional cartoon character in the comic strip Li'l Abner, which first appeared in 1948. This sign is indicative of left ventricular enlar...
Article

Single coronary artery

Single coronary arteries are rare (incidence 0.03-0.07%), with a higher incidence in patients with congenital heart disease (in particular truncus arteriosus and pulmonary atresia). They occur when there is a single ostia arising from the aorta with no ectopic ostia. There is a wide variety of c...
Article

Sinoatrial nodal artery

The sinoatrial (SA) nodal artery is the small artery that supplies the sinoatrial (SA) node of the heart (the pacemaker).  Gross anatomy Origin Right coronary artery in 60% of cases and the left coronary artery in 40% of cases. Course The artery turns posteriorly below the superior vena cav...
Article

Sinus of Valsalva aneurysm

Sinus of Valsalva aneurysms are a cause of thoracic aortic dilatation. They can be either congenital or acquired (mycotic). Epidemiology There is a male predilection (M:F ratio being around 3-4:1). They are relatively more common in eastern and Asian populations and can occur in any age group ...
Article

Small cardiac vein

The small cardiac vein is a vein of the heart which accompanies the acute marginal artery from the RCA. It courses in the right posterior atrioventricular groove and drains into the coronary sinus close to it’s termination but may drain directly into the right atrium. It drains the right ventric...
Article

Snowman sign (total anomalous pulmonary venous return)

Snowman sign refers to the configuration of the heart and the superior mediastinal borders resembling a snowman. This is seen in total anomalous pulmonary venous return (TAPVR) type I (supracardiac type). It is an abnormality of the fetal circulation wherein the entire pulmonary venous flow is ...
Article

Sonographic approach to dyspnoea (mnemonic)

This mnemonic will help with the sonographic approach to the critically ill patient with dyspnoea: CHEST Mnemonic C: collapsed lung (pneumothorax)  ​absent anterior lung sliding / anterior B lines lung point present 1 H: heart failure (acute pulmonary oedema) diffuse bilateral anterior B ...
Article

Speckle tracking echocardiography

Speckle tracking echocardiography is a new player in the cardiac arena which is rapidly making its mark in cardiac and radiology circles alike. It is an objective, robust, semiautomatic and reproducible technique with a short post processing time. Traditionally, left ventricular function is mea...
Article

Stanford classification of aortic dissection

Along with the DeBakey classification, the Stanford classification is used to separate aortic dissections into those that need surgical repair, and those that usually require only medical management. The Stanford classification divides dissections by the most proximal involvement: type A: A aff...
Article

Stunned myocardium

Stunned myocardium refers to a situation in which an acute transient myocardial ischemic event results in a prolonged wall motion abnormality which eventually resolves. The term is usually distinguished from "hibernating" myocardium, in which a chronic ischaemic process leads to chronic left ve...
Article

Superior aortic recess

The superior aortic recess is one of the pericardial recesses forming a small space within the pericardium, which arises from the superior margin of the transverse pericardial sinus and surrounds the root of the ascending aorta. Its components are variable and may be further subdivided into: a...

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