Cardiac cases for radiology residents.Chest radiology, ABR, American Board of Radiology,

1. Cardiac Case conference
July 27. 2017
Dr. Jayanth H Keshavamurthy. M.D.

3. Right aortic arch

5. Calcified LV aneurysm

6. 30 year old female

7. Kawasaki disease and coronary
artery aneurysm from old
Kawasaki disease

9. SVG aneurysm

11. Old post trauamtic aortic
aneurysm

14. PAPVR-Scimitar syndrome

16. Uncorrected tetralogy of Fallot

17. CLINICAL STATEMENT: " 49 yo M with central chest pain with
radiation to neck"

20. Impression:
1. Intramural hematoma extending from the sinotubular
junction to the proximal aortic arch without visualized intimal
flap.
2. Descending thoracic aortic aneurysm.
3. Intramural hematoma involving the main pulmonary artery
without central pulmonary embolism.
4. Cardiomegaly with mild hemopericardium.

22. Calcified pericardium

24. There is a calcific density
overlying the mid left heart
border consistent with known
calcified cardiac fibroma

27. Fever and chills with weight loss

28. Ruptured mycotic pseudo
aneurysm

30. ASD is a sinus venosus or
secundum with Eisenmenger’s

33. PAH

35. Ebsteins anomaly with pulmonary
arterial hypertension

36. Name the procedure

37. Pulmonary artery: LeCompte
maneuver, the pulmonary artery
has a Y shaped configuration and
anterior to the ascending aorta and
attached to the RVOT.

38. What is the complication seen here? What
is the name of this procedure done for
bicuspid aortic valve disorder in children?

39. http://thoracicrad.org/assets/ind
ex/2016/Case_of_the_Month/car
dio/05-2016/img2.html
Ross procedure

41. Myocardial fatty foci in TS with
LAM and MMPH

43. Left Atrium/Atrial Septum:
The left atrium is severely dilated. The Left Atrial
Volume Index = 42.9 ml/m^2. A secundum type
atrial septal defect is present. Large secundum ASD
demonstrated by color doppler and agitated saline
contrast with predominant Left to right shunt. While
measurements are not accurate, the QP/QS appears
to be greater than 3.
Right Atrium:
The right atrium is severely dilated.