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


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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

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



Radiology of the cardio vascular system by prof abdul raouf yassin abdulmajeed

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


Radiology of the cardio vascular system by prof abdul raouf yassin abdulmajeed

Normal left coronary arteriogram ,lateral projection a large ventricular aneurysm with some calcification in mural thrombus .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 .


Radiology of the cardio vascular system by prof abdul raouf yassin abdulmajeed

Normal right coronary arteriogram . Left anterior oblique a large ventricular aneurysm with some calcification in mural thrombus .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 .


Radiology of the cardio vascular system by prof abdul raouf yassin abdulmajeed

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


Congenital heart disease

Congenital heart disease marked narrowing of the lumen of the main coronary artery in its middle third .


Radiology of the cardio vascular system by prof abdul raouf yassin abdulmajeed

Large ventricular marked narrowing of the lumen of the main coronary artery in its middle third .septal defect, with high pulmonary artery pressure due to a large left to right shunt and low pulmonary vascular resistance , resulting in pulmonary pleonaaemia.


Fallot s tetralogy
Fallot’s marked narrowing of the lumen of the main coronary artery in its middle third . 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 .


Radiology of the cardio vascular system by prof abdul raouf yassin abdulmajeed

Fallot’s marked narrowing of the lumen of the main coronary artery in its middle third . tetralogy . Note marked pulmonary bay and oligaemic lung fields .


Radiology of the cardio vascular system by prof abdul raouf yassin abdulmajeed

Fallot’s marked narrowing of the lumen of the main coronary artery in its middle third .tetrology . Right ventricular enlargment is indicated by the apex of the heart being elevated above the diaphragm .


Radiology of the cardio vascular system by prof abdul raouf yassin abdulmajeed
Oligaemia marked narrowing of the lumen of the main coronary artery in its middle third . due to reduced pulmonary flow in fallor’stetrology . The small main and peripheral pulmonary arteries should be noted


Co arctatction of the aorta

Co- marked narrowing of the lumen of the main coronary artery in its middle third .arctatction of the aorta


Radiology of the cardio vascular system by prof abdul raouf yassin abdulmajeed

Co- marked narrowing of the lumen of the main coronary artery in its middle third .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 ) .


Radiology of the cardio vascular system by prof abdul raouf yassin abdulmajeed

Co- marked narrowing of the lumen of the main coronary artery in its middle third .arctation of the aorta . Notching on the inferior aspects of the posteriolateral ribs related to collateral flow through intercostal arteries secondary to coarctation


Rib notching
Rib notching marked narrowing of the lumen of the main coronary artery in its middle third .