title: Illustrated Imaging Essay on Congenital Heart Diseases: Multimodality Approach Part II: Acyanotic Congenital Heart Disease and Extracardiac Abnormalities.
abstract: Acyanotic heart disease constitutes a significant majority of patient who may present with non-cardiac symptoms. Either they are detected incidentally or present with respiratory complaints. Equipped with knowledge of anatomy by echocardiography and radiographic methods described in previous part of this presentation, diagnosis may be confidently attempted. On plain radiography acyanotic congenital heart diseases have variable appearance depending upon severity of disease. Cardiac size, chamber enlargement and pulmonary vascular pattern are key elements. Typically left to right shunts with large volume flow are associated with pulmonary plethora. Plain radiography has an important role in detecting manifestation of pulmonary arterial hypertension. Severe stenosis of pulmonary valve is associated with pulmonary oligemia. Small intra-cardiac shunts and anomalies of coronary arteries generally present with normal cardiac size and pulmonary arterial pattern. Disease spectrum presented in this illustration demands thorough scrutiny of pulmonary, osseous and abdominal abnormalities. This section illustrates some commonly encountered spectrum of acyanotic cardiac disease.
authors: Director of Imaging Services, Head of Radiology, Department of Radiology and Imaging services, Narayana Health, Narayana Hrudayalaya, Multispeciality Hospital-Shaw Mazumdar Medical Centre , Bengaluru, India .
authors: Venkatraman
authors: V
authors: Bhat
authors: Junior Consultant, Department of Radiology and Imaging services, Narayana Health, Narayana Hrudayalaya, Multispeciality Hospital-Shaw Mazumdar Medical Centre , Bengaluru, India .
authors: Vinay
authors: V
authors: Belaval
authors: Consultant Radiology, Department of Radiology and Imaging services, Narayana Health, Narayana Hrudayalaya, Multispeciality Hospital-Shaw Mazumdar Medical Centre , Bengaluru, India .
authors: Karthik
authors: K
authors: Gadabanahalli
authors: Consultant Radiology, Department of Radiology and Imaging services, Narayana Health, Narayana Hrudayalaya, Multispeciality Hospital-Shaw Mazumdar Medical Centre , Bengaluru, India .
authors: Vimal
authors: V
authors: Raj
authors: Senior Consultant Paediatric Cardiology, Department of Pediatric cardiology, Narayana Health, Narayana Hrudayalaya , Bengaluru, India .
authors: Sejal
authors: S
authors: Shah
keywords: Absent right pulmonary artery; Anomalous pulmonary venous drainage; Coarctation of aorta; Coronary A-V fistula; Imaging