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    Right ventricular enlargement can be caused by conditions like mitral stenosis and chronic pulmonary disease. It displaces the right ventricle leftward and anteriorly on imaging. Left auricular enlargement is commonly due to mitral disease, displacing the structure rightward and posteriorly. Right auricular enlargement can result from conditions that cause right heart failure or tricuspid disease.

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    Right ventricular enlargement can be caused by conditions like mitral stenosis and chronic pulmonary disease. It displaces the right ventricle leftward and anteriorly on imaging. Left auricular enlargement is commonly due to mitral disease, displacing the structure rightward and posteriorly. Right auricular enlargement can result from conditions that cause right heart failure or tricuspid disease.

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    Right ventricular enlargement can be caused by conditions like mitral stenosis and chronic pulmonary disease. It displaces the right ventricle leftward and anteriorly on imaging. Left auricular enlargement is commonly due to mitral disease, displacing the structure rightward and posteriorly. Right auricular enlargement can result from conditions that cause right heart failure or tricuspid disease.

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    37 views20 pages

    Micros 1

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    Right ventricular enlargement can be caused by conditions like mitral stenosis and chronic pulmonary disease. It displaces the right ventricle leftward and anteriorly on imaging. Left auricular enlargement is commonly due to mitral disease, displacing the structure rightward and posteriorly. Right auricular enlargement can result from conditions that cause right heart failure or tricuspid disease.

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    of 20

    Enlargement of heart

    (2) Right ventricular enlargement:

     The common causes are mitral stenosis, cong


    enital failure, chronic pulmonary diseases
     The right ventricle enlarges chiefly to the
    left and anteriorly.
     In the P-A view , the whole of the left bor
    der is formed by the right ventricle.
     the point of opposite pulsation is pushed d
    own-wards.
    Enlargement of heart
    (2) Right ventricular enlargement:

     In the LAO view,


     the retrosternal space become smaller

     the interventricular groove and the left ventri


    cle backward and upward displacement.
     In the RAO view,
     a large right ventricle extends very high up th
    e retrosternal space
     the infundibulum region is prominent.

     the heart rotate to the left, so as to make the


    aortic knuckle less prominent.
    Enlargement of heart
    (2) Right ventricular enlargement
    Right ventricular enlargement
    Enlargement of heart
    (3) Left auricular enlargement:
     The common cause of left auricular enlargement
    is mitral disease.
     The enlargement is displace to the right and po
    sterior.
     the left main bronchus moves upwards.
     the esophagus displaces backwards and to the ri
    ght.
     the left auricular appendage is enlarged and fo
    rms part of the left contour.
    Enlargement of heart
    (3) Left auricular enlargement
    Left auricular enlargement
    Right auricular enlargement

     The commen cause of right auricular enlarge


    ment are right heart failure, tricuspid dis
    ease and ASD.
     Enlargement of the right auricle is predomi
    nantly to the right and anteriorly.
     In the P-A view there is enlargement and bu
    lging of the right heart border is bulging
    and the angle formed with the aorta is gett
    ing smaller, may be as small as a right ang
    le.
    Right auricular enlargement
    Can you get sth from the pic
    ture?
    congenital heart disease
    classification ：
     left to right shunt ：

     right-to-left shunt

     No split stream ：
    congenital heart disease
     clinical symptom ：
    No cyanosis ： ASD 、 VSD 、 PDA 、 PS
    cyanosis ： TOF 、
    congenital heart disease
     X-ray categorization ：
    increased pulmonary blood flow:ASD,VSD,
    PDA
    decreased pulmonary blood flow ： PS,TO
    F

    p
    ulmonary artery stenosis
    Congenital heart disease
     1 、 atrial septal defect,ASD
     2 、 ventricular septal defect,VSD
     3 、 patent ductus arteriosus;PDA
     4 、 pulmonary artery stenosis
     5 、 tetralogy of Folt
    clinical manifestation
     劳累后心悸，气促，易患呼吸道感染，无发绀。胸骨左缘 II 、 III 肋间听到 2~4 级吹风样收缩期杂音。
    无震颤。心电图显示右心房、右心室肥大和右束支传导阻滞。

     Cardiopalmus after exertion, short bre


    ath, and respiratory tract infection.
     You can hear the 2-4 degrees blowing s
    ystolic murmur at the left sternal bor
    der.
     Electrocardiogram/ECG: RA and RV enlar
    gement , right bundle branch block
    Atrial septal defect

     X-ray features :
     increased pulmonary blood flow and pul
    monary markings, the lung field beco
    mes dim .
     RA or/and RV enlargement
     Pulmonery artery hypertension
    hemadynamics changing
     肺静脉血回流入左房，左房血分流入右房，因此房缺是左向右的分流，使右房、右室和肺动脉血流量增加，致肺充血、
    右房、室增大。久之，肺动脉高压，右心衰。

     The blood in pulmonary vein inflows LA, bu


    t it will inflow RA because of ASD.
    the volume of blood flow of RA, RV and
    the pulmonary artery increasing pul
    monary congestion, RA , RV
    pulmonary artery hypertension , congestive heart
    failure
    Atrial septal defect
     ASD+ 二尖瓣狭窄（ lutenbacher 综合征）：加重了心房水平左向右的分流。

     Eisenmenger syndrome ： ASD ＋ mitral st


    enosis. Owing to “left to right shun
    t” ， the pressure of RA increases sha
    rply ， when it increase to some exten
    d, the cyanosis occurs.

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