CXR: Coarctation of Aorta

5,434 views

Published on

Published in: Health & Medicine
0 Comments
3 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
5,434
On SlideShare
0
From Embeds
0
Number of Embeds
19
Actions
Shares
0
Downloads
58
Comments
0
Likes
3
Embeds 0
No embeds

No notes for slide

CXR: Coarctation of Aorta

  1. 1. <ul><li>PROF.DR.K.H.NOORUL AMEEN’S UNIT M6 </li></ul><ul><li>DR.M.ARIVUMANI </li></ul>IMAGE OF THE WEEK
  2. 2. 45 Year old male patient Known hypertensive admitted with complaints of chest pain, epistaxis for 2 days duration <ul><li>o/e patient concious oriented </li></ul><ul><li>BP 180/110mmhg </li></ul><ul><li>CVS S1,S2 heard,no murmur </li></ul><ul><li>RS NVBS,no added sounds </li></ul><ul><li>P/A soft </li></ul><ul><li>CNS NFND </li></ul><ul><li>Chest x ray taken </li></ul>
  3. 6. <ul><li>Chest x ray </li></ul><ul><li>PA view </li></ul><ul><li>Inspiratory film </li></ul><ul><li>Normal penetration </li></ul><ul><li>No rotation </li></ul><ul><li>Soft tissues normal </li></ul><ul><li>Lung fields normal </li></ul><ul><li>Rib notching seen in inferior borders of posterior ribs prominently seen in 3 rd to 8 th ribs. </li></ul>
  4. 11. X Ray changes in coarctatation of aorta <ul><li>Chest X ray </li></ul><ul><li>Notching of inferior border 3 rd to 9 th posterior ribs due to erosion by dilated collaterals(beween braches of subclavian and posterior intercostal arteries). </li></ul><ul><li>‘ 3’ sign-indentation of aorta at the site of coarctation , dilatation of left subclavian artery and poststenotic dilatation of aorta along paramediastinal border. </li></ul><ul><li>Cardiomegaly </li></ul><ul><li>Rib erosion seen in lower ribs in case of abdominal coarctation. </li></ul><ul><li>E sign in barium filled oesophagus </li></ul>
  5. 14. Causes of rib notching <ul><li>Superior border rib notching </li></ul><ul><li>Normal finding in elderly </li></ul><ul><li>Rheumatoid arthritis </li></ul><ul><li>SLE </li></ul><ul><li>Hyperparathyroidism </li></ul><ul><li>Marfan syndrome </li></ul><ul><li>Neurofibromatosis </li></ul><ul><li>Poliomyelitis </li></ul>
  6. 15. <ul><li>Inferior rib notching </li></ul><ul><li>Unilateral </li></ul><ul><li>BT shunt </li></ul><ul><li>Subclavian artery ooclusion </li></ul><ul><li>Coarctation involving anamalous right </li></ul><ul><li>subclavian artery </li></ul>
  7. 16. <ul><li>Inferior rib notching </li></ul><ul><li>Bilateral </li></ul><ul><li>Coarctatation of aorta </li></ul><ul><li>takayasu arteritis </li></ul><ul><li>Subclavian atheroma </li></ul><ul><li>TOF,PS,Truncus arteriosus type 4 </li></ul><ul><li>SVC/IVC obstruction </li></ul><ul><li>Intercostopulmonary fistula/AV fistula </li></ul><ul><li>Hyperparathyroidism </li></ul><ul><li>Neurogenic </li></ul><ul><li>Idiopathic </li></ul>
  8. 17. <ul><li>THANK YOU </li></ul>

×