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8 Acyanotic Congenital Heart
Disease with Normal Pulmonary
Blood Flow
CLINICAL IMAGAGING
AN ATLAS OF DIFFERENTIAL DAIGNOSIS
EISENBERG
DR. Muhammad Bin Zulfiqar
PGR-FCPS III SIMS/SHL
• Fig CA 8-1 Coarctation of the aorta. Plain chest
radiograph demonstrates the figure-3 sign
(arrow points to the center of the 3).
• Fig CA 8-2 (A) Subvalvular aortic stenosis. Note
the muscular ridge protruding from the upper
portion of the ventricular septum (arrows). The
ridge is about 2 cm below the aortic valve and
encroaches on the outflow tract of the left
ventricle. (B) Valvular aortic stenosis. Irregular
thickening of aortic valve leaflets and relative
rigidity of the left coronary cusp. (C)
Supravalvular aortic stenosis. Narrowed segment
(arrows) located just above the coronary ostia.9
• Fig CA 8-3 Endocardial fibroelastosis. Globular
enlargement of the heart.
• Fig CA 8-4 Hypoplastic left heart syndrome.
Globular cardiomegaly with pronounced
congestive failure.
8 acyanotic congenital heart disease with normal pulmonary

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  • 3. • Fig CA 8-1 Coarctation of the aorta. Plain chest radiograph demonstrates the figure-3 sign (arrow points to the center of the 3).
  • 4. • Fig CA 8-2 (A) Subvalvular aortic stenosis. Note the muscular ridge protruding from the upper portion of the ventricular septum (arrows). The ridge is about 2 cm below the aortic valve and encroaches on the outflow tract of the left ventricle. (B) Valvular aortic stenosis. Irregular thickening of aortic valve leaflets and relative rigidity of the left coronary cusp. (C) Supravalvular aortic stenosis. Narrowed segment (arrows) located just above the coronary ostia.9
  • 5. • Fig CA 8-3 Endocardial fibroelastosis. Globular enlargement of the heart.
  • 6. • Fig CA 8-4 Hypoplastic left heart syndrome. Globular cardiomegaly with pronounced congestive failure.