You are on page 1of 40

Malformaţii congenitale cardiace

Imagini radiologice

Conf. Dr. Tatiana Ciomârtan


INSMC “Alessandrescu - Rusescu”

2020
Radiografie PA normală copil

Ped TB Radiology for Clinicians - Smith, John


http://www.learningradiology.com
Artera pulmonară

http://www.learningradiology.com
Artera pulmonară

http://www.learningradiology.com
Presiune 
Flux 
Artera pulmonară

AP mică
http://www.learningradiology.com
Trunchi arterial
Tetralogie Fallot
9 leziuni = 75% dintre MCC severe la n-n
Flux sanguin pulmonar 
1. Tetralogia Fallot
2. Atrezia de tricuspidă
3. Stenoza valvulară pulmonară severă
4. Boala Ebstein

Flux sanguin pulmonar 


4. TMV
5. DSV

HT venoasă pulmonară
7. Sindr. cord stg hipoplazic
8. Co Ao
9. ÎVPTA (TAPVR) infradiafragmatică obstruată
Nou-născut

L. Yamamoto - Radiology Cases in L. Yamamoto - Radiology Cases in Pediatric


Pediatric Emergency Medicine, 1994-9 Normal Emergency Medicine, 1994-9
MCC cu şunt stg. – dr.

• DSA
• DSV
• Canal A-V
• PCA
• IVPTA (TAPVR)
Johnson – Pediatric cardiology –
The Essential Pocket Guide, 2008
Johnson – Pediatric cardiology –
The Essential Pocket Guide, 2008

DSA
Johnson – Pediatric cardiology – Johnson – Pediatric cardiology –
The Essential Pocket Guide, 2008 The Essential Pocket Guide, 2008

DSV
Canal A-V

Johnson – Pediatric Cardiology – The Essential Pocket Guide, 2008


PCA

Johnson – Pediatric cardiology – The Essential Pocket Guide, 2008


TAPVR

Johnson – Pediatric cardiology –


supra-diafragmatică The Essential Pocket Guide, 2008
“Om de zăpadă”
TAPVR

Infra-diafragmatică
Johnson – Pediatric cardiology –
The Essential Pocket Guide, 2008
Nou-născut

L. Yamamoto - Radiology Cases in L. Yamamoto - Radiology Cases in Pediatric


Pediatric Emergency Medicine, 1994-9 Normal Emergency Medicine, 1994-9
Sugar de 2 luni cu convulsii

L. Yamamoto - Radiology Cases in


Pediatric Emergency Medicine, 1994-9
L. Yamamoto - Radiology Cases in
Pediatric Emergency Medicine, 1994-9
Sindrom
La naştere Di George
Nou-născut

Sindrom
Di George

L. Yamamoto - Radiology Cases in


Normal Pediatric Emergency Medicine, 1994-9
MCC cu şunt dr. - stg

• Tetralogia Fallot
• Stenoza pulmonară
• Atrezia pulmonară cu SIV intact
• Transpoziţia de mari vase
• Trunchiul arterial
• Atrezie de tricuspidă
• Boala Ebstein
• Dublă cale de ieşire din VD (DORV)
Johnson – Pediatric cardiology –
The Essential Pocket Guide, 2008

Johnson – Pediatric cardiology –


The Essential Pocket Guide, 2008

Tetralogie Fallot cu atrezie pulmonară


http://www.learningradiology.com

Tetralogie Fallot + Atrezie pulmonară


Johnson – Pediatric cardiology – The Essential Pocket Guide, 2008

Stenoză valvulară pulmonară Johnson – Pediatric cardiology –


The Essential Pocket Guide, 2008
Johnson – Pediatric cardiology –
The Essential Pocket Guide, 2008
http://www.adhb.govt.nz/newborn/teachingresources/radiology/cardiology.htm

Atrezie pulmonară cu sept


interventricular intact
Johnson – Pediatric cardiology –
The Essential Pocket Guide, 2008
http://quizlet.com/25007563/flashcards

TMV
http://rad.usuhs.edu/medpix

http://www.vhlab.umn.edu

TMV corectată
congenital
http://www.learningradiology.com
Johnson – Pediatric cardiology –
The Essential Pocket Guide, 2008

S.T.A.B.L.E. 2001

Trunchi arterial
http://www.learningradiology.com
http://www.learningradiology.com

Trunchi arterial tip I


Atrezie
tricuspidă
+ DSV larg

http://emedicine.medscape.com/article/158359-workup#a0720

Johnson – Pediatric cardiology –


The Essential Pocket Guide, 2008

Atrezie tricuspidă + DSV larg Atrezie tricuspidă + DSV larg


cu stenoză pulmonară http://www.learningradiology.com/lectures/cardiaclectures fără stenoză pulmonară
Johnson – Pediatric cardiology –
http://www.learningradiology.com The Essential Pocket Guide, 2008

B. Ebstein
DORV cu DSV subaortic

http://emedicine.medscape.com/article/896230

Dublă cale de ieşire din VD


(DORV) DORV cu DSV subpulmonar
+ D-transpozitie
http://www.heartwaves.org/ expert-waves/conditions
Leziuni obstructive

• CoAo,
• Întrerupere de arc aortic,
• Sindr. cord stg hipoplazic,
• Cor triatriatum.
http://www.learningradiology.com
Co Ao
Co Ao

http://www.learningradiology.com
Co Ao
http://www.learningradiology.com
CoAo

Johnson – Pediatric cardiology –


The Essential Pocket Guide, 2008
http://www.pediatriccardiacinquest.mb.ca

http://pediatricimaging.wikispaces.com

Întrerupere de
Arc Aortic
Johnson – Pediatric cardiology –
The Essential Pocket Guide, 2008

Sindr. de cord
http://www.adhb.govt.nz/newborn/teachingresources/radiology/cardiology.htm
stg hipoplazic
http://www.learningradiology.com

Sindr. de cord stg hipoplazic


http://www.learningradiology.com

Cor triatriatum
http://www.learningradiology.com http://www.learningradiology.com

Circulaţie bronşică Hiperflux circulaţie pulmonară

You might also like