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Radiology of the cardio-vascular system By : prof. abdul-raouf yassin ABDULMAJEED

In The Name Of God The Most Merciful The Most Compassionate Ahfad University for women faculty of medicine radiology department . Radiology of the cardio-vascular system By : prof. abdul-raouf yassin ABDULMAJEED. Ischemic heart disease .

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Radiology of the cardio-vascular system By : prof. abdul-raouf yassin ABDULMAJEED

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  1. In The Name Of God The Most Merciful The Most CompassionateAhfad University for womenfaculty of medicine radiology department Radiology of the cardio-vascular system By : prof. abdul-raoufyassin ABDULMAJEED

  2. Ischemic heart disease

  3. Chest film of patient with ischemic heart disease . There is a large ventricular aneurysm with some calcification in mural thrombus .

  4. Normal left coronary arteriogram ,lateral projection 1 = left main coronary artery . 2 = anterior descending branch . 3= diagonal branch 4 = diagonal branch . 5 = circumflex branch . 6= marginal branch 7 = posterior-lateral branch . 8 = nodal branch .

  5. Normal right coronary arteriogram . Left anterior oblique projection 1=right main coronary artery. 2=sinus node branch . 3= conus branch 4= right ventricular branch 5 = posterior descending branch 6= right posterio-lateral branch .

  6. Right coronary arteriogram . Lateral projection . There is marked narrowing of the lumen of the main coronary artery in its middle third .

  7. Congenital heart disease

  8. Large ventricular septal defect, with high pulmonary artery pressure due to a large left to right shunt and low pulmonary vascular resistance , resulting in pulmonary pleonaaemia.

  9. Fallot’s tetralogy It is a maldevelopment of the infundibular septum which is displaced forwards and to the right. This displacement carries the aorta forwards so that : A) it overrides the ventricular septal defect, which lies in the membranous septum. B) there is a concurrent narrowing of the right ventricular infundibulum and distortion of the pulmonary valve. C) there is right ventricular hypertrophy secondary to right ventricular outflow tract obstruction. D) ventricular septal defect .

  10. Fallot’s tetralogy . Note marked pulmonary bay and oligaemic lung fields .

  11. Fallot’stetrology . Right ventricular enlargment is indicated by the apex of the heart being elevated above the diaphragm .

  12. Oligaemia due to reduced pulmonary flow in fallor’stetrology . The small main and peripheral pulmonary arteries should be noted

  13. Co-arctatction of the aorta

  14. Co-arctation of the aorta . Showing bilateral rib notching (4 small arrow heads). Note opacity in left para-tracheal region due to large subclavian artery ( large arrow head) . Note also apparently small aortic knuckle ( arrow ) .

  15. Co-arctation of the aorta . Notching on the inferior aspects of the posteriolateral ribs related to collateral flow through intercostal arteries secondary to coarctation

  16. Rib notching

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