Plain-film assessment of the neonate with D-transposition of the great vessels.
The presenting chest radiographs of 27 new-born patients with D-transposition of the great vessels (D-TGV) were evaluated for the degree of pulmonary flow as well as other findings classically described in D-TGV (narrow superior mediastinum, radiographically absent thymus, inapparent main pulmonary artery, non-visualization of the malpositioned aortic arch, asymmetric pulmonary blood flow, and cardiomegaly). Of the 27 patients, 22 (82%) demonstrated normal or decreased flow. The majority of the D-TGV patients also failed to demonstrate any of the other classically described radiographic findings. A normal chest radiograph is the most common presenting scenario in the neonate with D-TGV.
Donnelly
L F
LF
Department of Radiology, Children's Hospital Medical Center, Cincinnati, OH 45229-3039, USA.
Hurst
D R
DR
Strife
J L
JL
Shapiro
R
R
D006328:Cardiac Catheterization; D006801:Humans; D007231:Infant, Newborn; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011652:Pulmonary Circulation / Q000502:physiology; D011859:Radiography; D014188:Transposition of Great Vessels / Q000000981:diagnostic imaging* / Q000503:physiopathology