Supportive images CVS

Case 4

It is very important to know whether patient is acynotic or cyanotic. This is a situation of a left-to-right shunt. In this case it was a secondum atrial septal defect, shown in the subsequent axial CT scan. Note that there is enlargement of the right atrium and ventricle, anterior to chambers. Atrial septal defect is outlined with an arrow.

Case 8

Evaluation of vascular structures for graft planning, graft selection, positioning are part of the radiologist job. Thorough understanding of the needs of the technique is mandatory. Modern radiology workstation are provided with a dedicated software for surgical planning. Also note incidental observations in the spine.

Case 16

If you carefully observe you see rib notching, subtle wavy outline of the inferior aspect of the ribs evident on the left side. Apart from coarctation there are many other causes of rib notching. This observation is generally seen in long-standing coarctation, early coarctation as detected in the present day may not show rib notching. Other important because of rib notching after cardiac surgery, thoracic surgery, vascular malformations of the intercostal arteries and occasionally subclavian stenosis. Non-vascular causes like neurofibromatosis and rheumatoid arthritis are additional causes