際際滷

際際滷Share a Scribd company logo

3.acquired valvular heart disease

Ngoan Pham
Ngoan Pham

The document describes x-ray findings of mitral stenosis of varying severity. For mild mitral stenosis, chest x-rays may be normal but show an enlarged left atrium. Moderate to severe mitral stenosis is seen as an enlarged left atrium, elevated left main bronchus, and displaced descending aorta on chest x-rays. Severe mitral stenosis additionally shows enlarged pulmonary arteries and veins as well as displacement of the esophagus. Differential diagnoses include pectus excavatum and partial absence of the pericardium.

1 of 132
Downloaded 20 times
1 CHAN OAN HNH ANH BENH VAN TIM MAC PHAI BS.NGUYEN QUY KHOANG BS.NGUYEN QUANG TRONG 6/19/2013
2 DAN BAI He誰p van 2 la湛. a誰i c旦担ng. X quang He誰p van 2 la湛 nhe誰. X quang He誰p van 2 la湛 trung b狸nh-na谷ng. Thay 単o奪i ve tim. Thay 単o奪i ve ma誰ch ma湛u. Thay 単o奪i ve chu短 mo但 pho奪i. 6/19/2013
3 DAN BAI H担短 van 2 la湛. a誰i c旦担ng. X quang H担短 van 2 la湛 nhe誰. X quang H担短 van 2 la湛 trung b狸nh. X quang He誰p van 2 la湛 na谷ng. Ca湛c the奪 ke叩t h担誰p. 6/19/2013
4 DAN BAI He誰p van o辰ng ma誰ch chu短. a誰i c旦担ng. X quang. Co辰ng h旦担短ng t旦淡. 6/19/2013
5 DAN BAI H担短 van o辰ng ma誰ch chu短. a誰i c旦担ng. X quang. Chu誰p co湛 ca短n quang. Co辰ng h旦担短ng t旦淡. 6/19/2013
6 DAN BAI Be辰nh ly湛 van o辰ng ma誰ch pho奪i. Be辰nh ly湛 van 3 la湛. ng du誰ng la但m sa淡ng. Ke叩t lua辰n. 6/19/2013
7 AI CNG HEP VAN HAI LA (MITRAL STENOSIS) Be辰nh th旦担淡ng ga谷p 担短 Vie辰t Nam. 50% la淡 do Tha叩p tim (RAA).N旦探/Nam=8/1. Ca湛c nguye但n nha但n kha湛c: Vie但m no辰i ta但m ma誰c nhie達m tru淡ng (Bacterial endocarditis). U nhay nh坦 (T)(LA myxoma). 6/19/2013
8 AI CNG HEP VAN HAI LA 6/19/2013
9 X QUANG HEP VAN HAI LA NHE B狸nh th旦担淡ng S lo達 van=4-6cm2. He誰p nhe誰 khi 2cm2 S < 4cm2. Ap l旦誰c mao ma誰ch pho奪i =10-12mmHg. La但m sa淡ng: Rung ta但m tr旦担ng (+). 6/19/2013
10 X QUANG HEP VAN HAI LA NHE NORMAL MITRAL VALVE MITRAL STENOSIS 6/19/2013
11 X QUANG HEP VAN HAI LA NHE X quang: Bo湛ng tim ch旦a tha叩y thay 単o奪i g狸. Pha但n bo叩 ma誰ch ma湛u pho奪i cu探ng ch旦a tha叩y thay 単o奪i. Do va辰y,X quang tim-pho奪i b狸nh th旦担淡ng kho但ng loa誰i tr旦淡 単旦担誰c He誰p van hai la湛. 6/19/2013
12 X QUANG HEP VAN HAI LA TRUNG BNH-NANG He誰p trung b狸nh khi 1cm2 S < 2cm2. Ap l旦誰c mao ma誰ch pho奪i =10-17mmHg. He誰p na谷ng khi S lo達 van < 1cm2. Ap l旦誰c mao ma誰ch pho奪i 18mmHg. 6/19/2013
13 X QUANG HEP VAN HAI LA TRUNG BNH-NANG Sinh ly湛 be辰nh: Ta辿c nghe探n do淡ng cha短y t旦淡 Nh坦 (T) xuo叩ng Tha叩t (T) Ta棚ng a湛p l旦誰c Nh坦 (T) Da探n buong Nh坦 (T) Ta棚ng a湛p l旦誰c TM pho奪i Ta棚ng a湛p l旦誰c M pho奪i Ta棚ng a湛p l旦誰c Tha叩t (P) Gia探n buong Tha叩t (P). 6/19/2013
14 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM Da探n buong Nh坦 (T) khi 単旦担淡ng k鱈nh Nh坦 (T)>7cm (単o t旦淡 b担淡 d旦担湛i PQ go叩c (T) 単e叩n b担淡 pha短i Nh坦 (T)). Phe叩 qua短n go叩c (T) b嘆 単a奪y le但n cao. Co湛 h狸nh a短nh b担淡 単o但i 担短 b担淡 (P) cu短a tim. 6/19/2013
15 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM gMC xuo叩ng b嘆 単a奪y qua (T). Phim tha炭ng co湛 uo叩ng Baryte:Th旦誰c qua短n co湛 the奪 b嘆 単a奪y le辰ch,th旦担淡ng la淡 qua (P),単o但i khi b嘆 単a奪y le辰ch qua (T). Phim che叩ch tr旦担湛c (P)(RAO) co湛 uo叩ng Baryte:Th旦誰c qua短n b嘆 単a奪y ra sau ro探 nha叩t. 6/19/2013
16 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM 6/19/2013
17 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM 6/19/2013
18 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM 6/19/2013
19 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM 6/19/2013
20 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM LEFT ATRIAL ENLARGEMENT is best confirmed by measuring the distance from the midinferior border of the left main bronchus to the right lateral border of the left atrial density. -This distance is less than 7cm in 90% of normal patients and is greater than 7cm in 90% of left atrial enlargement patients,as proven by echocardiography. -This measurement can be approximated by placing ones right fifth finger under the left bronchus,and while keeping the fingers closed,if the left atrium is seen beyond ones four fingertips,the left atrium is enlarged. 6/19/2013
21 PULMONARY EDEMA / MITRAL STENOSIS AFTER TREATMENT 6/19/2013
22 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM MITRAL STENOSIS Enlarged LAA 6/19/2013
23 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM Enlargement of the left atrial appendage. 6/19/2013
24 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM -Elevation of left main bronchus. -Double shadow of the large left atrium (arrow). -Right atrial border is limited below by the entry of the inferior vena cava. 6/19/2013
25 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM -Elevation of left main bronchus. -Splaying of the carina. -Descending aorta (arrow) has been displaced to the left by the large left atrium. 6/19/2013
26 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM RAO-MITRAL STENOSIS Enlarged LA 6/19/2013
27 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM Ca淡ng nga淡y Nh坦 (T) ca淡ng to ra,nha叩t la淡 khi co湛 Rung nh坦.Nh坦 (T)co湛 the奪 v旦担誰t ra ngoa淡i b担淡 Nh坦 (P). Cung MP cu探ng to ra do ta棚ng a湛p trong buong Tha叩t (P). 6/19/2013
28 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM Tie奪u nh坦 (T) da探n l担湛n bie奪u hie辰n ba竪ng cung th旦湛 4 be但n (T),ngay d旦担湛i cung M pho奪i.a但y la淡 da叩u hie辰u co湛 s担湛m nha叩t cu短a He誰p van 2 la湛. B担淡 (T) tim cu探ng co湛 the奪 bie奪u hie辰n la淡 mo辰t 単旦担淡ng tha炭ng hoa谷c loi ra (Mitralisation du bord gauche du coeur). 6/19/2013
29 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM Hie辰n t旦担誰ng Mitralisation ro探 la淡 nh担淡 Quai MC nho短 do gia短m cung l旦担誰ng tim (l旦担誰ng ma湛u ve Tha叩t (T) 鱈t). Ne叩u Quai MC to,can pha短i chu湛 y湛 xem co湛 ke叩t h担誰p the但m be辰nh kha湛c nh旦 He誰p van MC,H担短 van MC. Quai TM Azygos da探n (>7mm). 6/19/2013
30 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM Tha叩t (T) co湛 k鱈ch th旦担湛c b狸nh th旦担淡ng,ch脱 so叩 T/N 0,5. Ve sau Tha叩t (P) da探n Ch脱 so叩 T/N ta棚ng. (Kho湛 cha奪n 単oa湛n pha但n bie辰t v担湛i Da淡y tha叩t (T) tre但n h狸nh tha炭ng,can h狸nh nghie但ng (T)-Tha叩t (P) che la叩p khoa短ng sa湛ng sau 旦湛c). 6/19/2013
6/19/2013 31 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM H狸nh a短nh 鱈t ga谷p la淡 vo但i ho湛a van hai la湛(40%), vo淡ng van 2 la湛(10%) va淡 担短 tha淡nh Nh坦 (T). Phim nghie但ng (T):Nh坦 (T) to 単a奪y PQ go叩c (T) ra sau (Walking man sign).
6/19/2013 32 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM MITRAL STENOSIS
6/19/2013 33 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM -Enlarged veins. -Bulging of the pulmonary artery. -Double density due to enlarged left atrium. -Right lateral displacement of esophagus. SEVERE MITRAL STENOSIS
6/19/2013 34 X QUANG CHAN OAN PHAN BIET Pectus excavatum-Cardiac silhouette is rotated and displaced to the patients left,and the left cardiac border is straight simulating mitral valve disease.
6/19/2013 35 X QUANG CHAN OAN PHAN BIET 10-year-old asymptomatic boy with an unusual contour of the left upper heart border on a chest X-ray.
6/19/2013 36 X QUANG CHAN OAN PHAN BIET Coronal T1-weighted:Bulging of the left atrial appendage related to partial absence of the pericardium.
6/19/2013 37 X QUANG CHAN OAN PHAN BIET PARTIAL ABSENCE OF THE PERICARDIUM
6/19/2013 38 X QUANG HEP VAN HAI LA TRUNG BNH-NANG WALKING MAN SIGN -The right main bronchus is outlined. -The lower lobe bronchus is displaced posteriorly (large arrowheads). -Calcification of the wall of the left atrium (small arrowheads).
6/19/2013 39 X QUANG HEP VAN HAI LA TRUNG BNH-NANG
6/19/2013 40 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM
6/19/2013 41 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM -RAO:enlargement of the left atrium(large black arrow). -The mitral valve is calcified(small black arrow). -The pulmonary outflow tract is enlarged(white arrow).
6/19/2013 42 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM C-shaped calcification in the mitral valve ring-Lateral view. Calcification in the wall of the left atrium.
6/19/2013 43 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM Calcification within the left atrium.
6/19/2013 44 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM Left atrial calcification (Lateral view).
6/19/2013 45 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM -Left atrial calcification (white arrows). -Calcified mitral valve (black arrow).
6/19/2013 46 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM -Calcified mitral valve. -Esophagus is pushed posteriorly by the enlarged left atrium.
6/19/2013 47 X QUANG THAY OI VE TIM Mitral annular calcification in asymptomatic patients.
6/19/2013 48 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI Ta棚ng tuan hoa淡n pho奪i thu誰 単o辰ng (Ta棚ng tuan hoa淡n pho奪i sau mao ma誰ch): Ta湛i pha但n pho叩i ma誰ch ma湛u pho奪i xua叩t hie辰n s担湛m khi ALTT>12mmHg. Xua叩t hie辰n ca湛c 単旦担淡ng Kerley A,B,C,D khi ALTT>18mmHg.Th旦担淡ng tha叩y nha叩t la淡 Kerley B.
6/19/2013 49 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI MP to dan Kho湛 cha奪n 単oa湛n pha但n bie辰t gi旦探a CIA v担湛i RM+HVD. CIA:Nh坦 (T) kho但ng to,kho但ng co湛 ta湛i pha但n pho叩i. Ve sau,MP to 担短 trung ta但m,nho短 担短 ngoa誰i vi (T狸nh tra誰ng ta棚ng a湛p MP la但u nga淡y Tha淡nh tie奪u 単o辰ng ma誰ch da淡y le但n).
50 Tu畉n hon ph畛i b狸nh th動畛ng T叩i ph但n ph畛i m畉ch m叩u ph畛i 6/19/2013
516/19/2013
52 Dy v叩ch li棚n ti畛u th湛y 6/19/2013
53 CARDIAC FAILURE -Enlarged heart size. -No clear heart border (interstitiel edema), Kerleys line, pleural effusion. -Redistribution. 6/19/2013
6/19/2013 54 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI -Left ventricle has normal size. -Dilated upper lobe vessels. -Bulging of the left atrial appendage. -Elevation of the left main bronchus. -Double contour of the right heart border. MITRAL STENOSIS
6/19/2013 55 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI -Small aortic knob. -Bulging of the main pulmonary artery. -Bulging of the left atrial appendage(large white arrow). -Elevation of the left main bronchus(black arrowheads). -Double density through the heart shadow(black arrows). -Redistribution(small white arrows). -The hilar vasculature is prominent(white arrowhead).
6/19/2013 56 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI -Dilated upper lobe vessels. -Bulging of the pulmonary artery. -Elevation of the left main bronchus. -Double contour of the right heart border.
6/19/2013 57 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI -Left main bronchus is displaced posteriorly by the large left atrium. -Large right ventricle touches the sternum. MITRAL STENOSIS
6/19/2013 58 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI PULMONARY ARTERIAL ANEURYSM / SEVERE MITRAL STENOSIS
6/19/2013 59 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI
6/19/2013 60 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI
6/19/2013 61 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-CAP TNH Phu淡 pho奪i mo但 ke探. Phu淡 pho奪i phe叩 nang.
6/19/2013 62 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-CAP TNH PULMONARY INTERSTITIAL EDEMA
6/19/2013 63 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-CAP TNH PULMONARY EDEMA
6/19/2013 64 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-MAN TNH ng旦担淡i He誰p van 2 la湛 la但u na棚m, 1/3 gi旦探a va淡 1/3 d旦担湛i co湛 nh旦探ng 単o叩m Hemosiderine do Hb thoa湛t ra ngoa淡i Hong cau (1/3 d旦担湛i nhieu h担n 1/3 gi旦探a). Hemosiderine b嘆 a棚n b担短i a誰i th旦誰c ba淡o Hemosiderose. Pha但n bie辰t v担湛iLao pho奪i ke但:No叩t ke但 ra短i kha辿p pho奪i (ca短 3 phan tre但n,gi旦探a va淡 d旦担湛i pho奪i).
6/19/2013 65 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-MAN TNH X担 pho奪i:nh旦探ng da短i m担淡 sa辿c ne湛t. Da淡y d鱈nh ma淡ng pho奪i:do thoa湛t d嘆ch Da淡y d鱈nh. Nh旦探ng vu淡ng m担淡 cu短a nhoi ma湛u pho奪i cu探.
6/19/2013 66 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-MAN TNH Nhoi ma湛u pho奪i (Pulmonary infarction) la淡 mo辰t bie叩n ch旦湛ng th旦担淡ng ga谷p cu短a be辰nh van 2 la湛 v狸 thuye但n ta辿c co湛 nguon go叩c t旦淡: Hoa谷c do nh旦探ng cu誰c ma湛u 単o但ng 担短 ngoa誰i vi v狸 cung l旦担誰ng tim tha叩p. Hoa谷c do cu誰c ma湛u 単o但ng t旦淡 Nh坦 (P) xua叩t hie辰n sau Rung nh坦.
6/19/2013 67 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-MAN TNH -The cardiac silhouette is typical of mitral stenosis. -Consolidation and pleural reaction at the left base pulmonary infarction.
6/19/2013 68 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-MAN TNH HEMOSIDEROSIS IN MITRAL STENOSIS
6/19/2013 69 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-MAN TNH KERLEYS B LINES & HEMOSIDEROSIS IN MITRAL STENOSIS
6/19/2013 70 AI CNG H VAN HAI LA (MITRAL REGURGITATION) H担短 van 2 la湛 co湛 the奪 ca叩p t鱈nh:旦湛t da但y cha竪ng-co辰t c担 (sau Nhoi ma湛u c担 tim,Vie但m no辰i ta但m ma誰c nhie達m tru淡ng) H担短 2 la湛 nh旦ng Tha叩t (T) ch旦a k嘆p gia探n ro辰ng. H担短 van 2 la湛 co湛 the奪 ma誰n t鱈nh:Sau RAA, hoa谷c do lo達 van gia探n ro辰ng (Ho辰i ch旦湛ng Marfan, Be辰nh c担 tim)
6/19/2013 71 X QUANG H VAN HAI LA NHE Tha叩t (T) va淡 Nh坦 (T) gia探n l担湛n do overload. Nh坦 (T) co淡n bu淡 X quang tim-pho奪i b狸nh th旦担淡ng du淡 tre但n La但m sa淡ng nghe ATTT. Do va辰y,cu探ng nh旦 He誰p van 2 la湛,X quang tim-pho奪i b狸nh th旦担淡ng kho但ng loa誰i tr旦淡 単旦担誰c H担短 van 2 la湛.
6/19/2013 72 X QUANG H VAN HAI LA TRUNG BNH Nh坦 (T) co淡n bu淡. Nh坦 (T) to ra,nh旦ng a湛p sua叩t ch旦a ta棚ng nhieu. Tha叩t (T) cu探ng gia探n to v旦淡a pha短i. Quai MC nho短 do cung l旦担誰ng tim gia短m.
6/19/2013 73 X QUANG H VAN HAI LA NANG Nh坦 (T) ma叩t bu淡. Nh坦 (T) to ra,a湛p sua叩t ta棚ng cao.Ne叩u so sa湛nh v担湛i He誰p 2 la湛 ,th狸 Nh坦 (T) to h担n nhieu,co湛 khi v旦担誰t ra ngoa淡i b担淡 cu短a Nh坦 (P). Tha叩t (T) to ra,ta誰o ne但n h狸nh a短nh big heart disease. Tre但n h狸nh nghie但ng hoa谷c LAO: Tha叩t (T) to che la叩p khoa短ng sa湛ng sau tim.
6/19/2013 74 X QUANG H VAN HAI LA NANG Quai MC nho短 do cung l旦担誰ng tim gia短m. Ph狸nh cung MP Mitralisation du bord gauche du coeur. Ta湛i pha但n pho叩i tuan hoa淡n pho奪i. Ca湛c 単旦担淡ng Kerley 鱈t ga谷p h担n va淡 kho但ng ro探 so v担湛i He誰p van 2 la湛.
6/19/2013 75 X QUANG H VAN HAI LA NANG MITRAL REGURGITATION
6/19/2013 76 X QUANG H VAN HAI LA NANG -Small aortic knob. -Peribronchial cuffing due to edema. -Bulging of the pulmonary artery. -Left ventricular enlargement.
6/19/2013 77 X QUANG H VAN HAI LA NANG MITRAL REGURGITATION
6/19/2013 78 X QUANG H VAN HAI LA NANG -Straightening of the left heart border. -Small aortic knob. -Elevation of the left main bronchus. -Bulging of the left atrial appendage. -Huge left atrium. -Enlargement of the cardiac silhouette.
6/19/2013 79 X QUANG H VAN HAI LA NANG Enlarged left atrium. MITRAL REGURGITATION
6/19/2013 80 X QUANG H VAN HAI LA NANG LATERAL VIEW:RETROGRADE BRACHIAL ARTERY CATHETERIZATION. -Left ventricle (small arrows). -Contrast through the incompetent mitral valve into the large left atrium (arrowheads). -Filling of the pulmonary veins (large arrows). MITRAL REGURGITATION
6/19/2013 81 X QUANG H VAN HAI LA NANG -Small aortic knob. -Elevation of the left main bronchus. -Enlargement of the left ventricle and left atrium. -The left atrium is calcified (arrowheads).
6/19/2013 82 X QUANG H VAN HAI LA NANG Calcification of the left atrial wall MITRAL REGURGITATION
6/19/2013 83 X QUANG H VAN HAI LA NANG -Small aortic knob. -Bulging of the main pulmonary artery. -Bulging of the left atrial appendage. -Extreme enlargement of the left atrium. -Enlargement of the cardiac silhouette. -Small right pleural effusion.
6/19/2013 84 X QUANG H VAN HAI LA NANG Calcification of the posterior wall of the huge left atrium. MITRAL REGURGITATION
6/19/2013 85 X QUANG H VAN HAI LA NANG MITRAL REGURGITATION -Small aortic knob. -Elevation of the left main bronchus. -Extreme enlargement of the left atrium (arrows). -Enlargement of the cardiac silhouette.
6/19/2013 86 SIEU AM H VAN HAI LA
87 PA view:Dilated left atrial appendage (arrows). Displacement of the left ventricular contour toward the left chest wall. LAT view:Dilated left atrium and ventricle. MITRAL REGURGITATION RETROGRADE LEFT VENTRICULOGRAM: Dilated left atrium and left atrial appendage (arrows). 6/19/2013
6/19/2013 88 X QUANG CAC THE KET HP He誰p+H担短 van 2 la湛:Nh坦 (T) ra叩t l担湛n,co湛 単o湛ng vo但i 担短 van 2 la湛 va淡 tha淡nh Nh坦 (T),tim to toa淡n bo辰. H担短 van 2 la湛+Be辰nh van MC(He誰p,h担短). H担短 van 2 la湛+H担短 van 3 la湛. H担短 van 2 la湛+H担短 van 3 la湛+Be辰nh van MC.
6/19/2013 89 X QUANG CAC THE KET HP
6/19/2013 90 X QUANG CAC THE KET HP Mitral valve stenosis and regurgitation- prosthetic mitral valve
6/19/2013 91 X QUANG CAC THE KET HP MITRAL STENOSIS AND MITRAL REGURGITATION -Small aortic knob. -Enlarged pulmonary artery(2). -Enlarged left atrial appendage(3). -Enlarged left ventricle(4). -Double atrial contour(1).
6/19/2013 92 X QUANG CAC THE KET HP -Typical cardiac configuration of mitral valvular disease. -Calcification of the mitral valve (black arrows). -Calcific density in the left ventricle (white arrows). (Thrombus arose in the left atrium Prolapsed into the left ventricle Calcified thrombus).
6/19/2013 93 X QUANG CAC THE KET HP RAO -Calcification of the mitral valve (black arrows). -Calcific density in the left ventricle (white arrows). MITRAL STENOSIS AND MITRAL REGURGITATION
6/19/2013 94 X QUANG CAC THE KET HP -Small aortic knob. -Bulging of the main pulmonary artery (white arrow). -Enlargement of the left ventricle (large arrowheads). -Enlargement of the left atrium. -Prominent of the superior pulmonary veins (small arrowhead). -Kerleys B lines. MITRAL STENOSIS AND MITRAL REGURGITATION
6/19/2013 95 X QUANG CAC THE KET HP MITRAL STENOSIS AND MITRAL REGURGITATION
6/19/2013 96 X QUANG CAC THE KET HP -Elevation of the left main bronchus (black arrow). -Enlargement of the left ventricle (arrowhead). MITRAL REGURGITATION The aortic valvular lesions was not suspected.It is often impossible to diagnose the combined lesion on plain films. MITRAL REGURGITATION AND AORTIC REGURGITATION
6/19/2013 97 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM SEVERE MITRAL VALVE DISEASE
6/19/2013 98 AI CNG HEP VAN ONG MACH CHU (AORTIC STENOSIS) B狸nh th旦担淡ng SAO=2,5-3,5 cm2. Khi SAO < 0,7cm2 Co湛 trie辰u ch旦湛ng la但m sa淡ng. Sinh ly湛 be辰nh:He誰p van MC Ta棚ng ga湛nh Tha叩t (T) Da淡y 単ong ta但m Tha叩t (T). Gia探n sau he誰p 担短 MC le但n,tha叩y ro探 tre但n phim LAO.
6/19/2013 99 X QUANG HEP VAN ONG MACH CHU B担淡 tim be但n (T) bau do da淡y 単ong ta但m Tha叩t (T),ch脱 so叩 T/N # 0,55. MC le但n cong qua (P). Quai MC kho但ng to v狸 l旦u l旦担誰ng MC gia短m. Ve sau: Mo短m tim chu湛c xuo叩ng do gia探n tha叩t (T). o湛ng vo但i 担短 van MC (85%-sau RAA).
6/19/2013 100 X QUANG HEP VAN ONG MACH CHU Pho叩i h担誰p:He誰p van MC+He誰p van 2 la湛. ng旦担淡i tre短,He誰p van MC ba奪m sinh= Van 2 ma短nh (Bicuspid valve). Cha奪n 単oa湛n pha但n bie辰t: Cao huye叩t a湛p. X担 v旦探a MC.
6/19/2013 101 X QUANG HEP VAN ONG MACH CHU
6/19/2013 102 X QUANG HEP VAN ONG MACH CHU AORTIC STENOSIS
6/19/2013 103 X QUANG HEP VAN ONG MACH CHU AORTIC STENOSIS
6/19/2013 104 X QUANG HEP VAN ONG MACH CHU Calcifications in the heart lie on a line drawn between the sterno-diaphragmatic angle and the carina. CALCIFIED AORTIC VALVE
6/19/2013 105 X QUANG HEP VAN ONG MACH CHU Ascending aorta shows slight post-stenotic dilatation.
6/19/2013 106 X QUANG HEP VAN ONG MACH CHU -Aortic valve calcification (arrow). -Posterior displacement of the left ventricle behind the line of the inferior vena cava. AORTIC STENOSIS
6/19/2013 107 X QUANG HEP VAN ONG MACH CHU -Normal heart size. -Dilated ascending aorta.
6/19/2013 108 X QUANG HEP VAN ONG MACH CHU Calcified aortic valve. AORTIC STENOSIS
6/19/2013 109 X QUANG HEP VAN ONG MACH CHU -Rounded left heart border (arrowheads). -Dilated ascending aorta (small arrows). -The aortic knob is not enlarged.
6/19/2013 110 X QUANG HEP VAN ONG MACH CHU LAO -Bulging of the ascending aorta because of post-stenotic dilatation (arrowheads). -Calcified aortic valve (black arrow). AORTIC STENOSIS
6/19/2013 111 X QUANG HEP VAN ONG MACH CHU
6/19/2013 112 X QUANG HEP VAN ONG MACH CHU AORTIC AND MITRAL STENOSIS
6/19/2013 113 CONG HNG T HEP VAN ONG MACH CHU GRADIENT-ECHO MR -Aortic valve (arrow). -The signal void in the entire ascending aorta due to marked turbulence caused by severe aortic stenosis.
6/19/2013 114 X QUANG H VAN ONG MACH CHU Nguye但n nha但n th旦担淡ng ga谷p nha叩t la淡 sau RAA. Ca湛c nguye但n nha但n kha湛c bao gom:Giang mai,Vie但m no辰i ta但m ma誰c nhie達m tru淡ng,Ho辰i ch旦湛ng Marfan,Cha叩n th旦担ng,MC bo湛c ta湛ch,Vie但m kh担湛p da誰ng tha叩p,Thoa湛i ho湛a sau ghe湛p van sinh ho誰c.
6/19/2013 115 X QUANG H VAN ONG MACH CHU Sinh ly湛 be辰nh:Ma湛u phu誰t ng旦担誰c va淡o Tha叩t (T) trong ky淡 ta但m tr旦担ng Gia探n buong tha叩t (T).Tha叩t (T) gia探n Gia探n vo淡ng van 2 la湛 H担短 van 2 la湛 Gia探n buong Nh坦 (T). Mo短m tim chu湛c xuo叩ng d旦担湛i va淡 ra sau B担淡 (T) tim thoai thoa短i va淡 単脱nh tim 担短 d旦担湛i vo淡m hoa淡nh (T). Ch脱 so叩 T/N > 0,6.
6/19/2013 116 X QUANG H VAN ONG MACH CHU MP kho但ng to,co湛 khi nh旦 lo探m va淡o. MC le但n th旦担淡ng kho但ng gia探n,ne叩u MC le但n gia探n ro探,pha短i coi ch旦淡ng co湛 ke叩t h担誰p v担湛i He誰p van MC. Quai MC hau nh旦 kho但ng thay 単o奪i. Chie叩u X quang:MC 単a辰p ma誰nh.
6/19/2013 117 X QUANG H VAN ONG MACH CHU
6/19/2013 118 X QUANG H VAN ONG MACH CHU -Enlarged left ventricle.The apex is displaced downward (large arrow). -The aorta is slightly prominent but there is no post-stenotic dilatation (small arrows). AORTIC REGURGITATION
6/19/2013 119 X QUANG H VAN ONG MACH CHU -Enlarged left ventricle. -The aorta is slightly prominent but there is no post-stenotic dilatation. AORTIC REGURGITATION
6/19/2013 120 X QUANG H VAN ONG MACH CHU -Enlarged left ventricle. -The aorta is slightly prominent but there is no post-stenotic dilatation. AORTIC REGURGITATION
6/19/2013 121 X QUANG H VAN ONG MACH CHU -Dilated left ventricle. -Post-stenotic dilatation of the ascending aorta (arrow).
6/19/2013 122 X QUANG H VAN ONG MACH CHU -Calcified aortic valve (ring of arrowheads). -Posterior displacement of the dilated left ventricle (row of arrowheads) behind the line of the inferior vena cava (large arrow). AORTIC STENOSIS & REGURGITATION
6/19/2013 123 X QUANG H VAN ONG MACH CHU RETROGRADE AORTOGRAM IN AORTIC REGURGITATION Reflux flow (arrows) in the dilated left ventricle.
6/19/2013 124 CONG HNG T H VAN ONG MACH CHU GRADIENT-ECHO MR Regurgitant flow from the aortic valve into the left ventricle (arrow) AORTIC REGURGITATION
6/19/2013 125 AI CNG BENH VAN ONG MACH PHOI MAC PHAI (ACQUIRED PULMONARY VALVULAR LESIONS) Be辰nh hie叩m khi 単担n 単o辰c va淡 hie叩m khi na谷ng. Be辰nh co湛 the奪 tha叩y trong Ho辰i ch旦湛ng carcinoid. H狸nh a短nh X quang th旦担淡ng ke叩t h担誰p to奪n th旦担ng ca湛c van tim kha湛c.
6/19/2013 126 AI CNG BENH VAN BA LA MAC PHAI (ACQUIRED TRICUSPID LESIONS) T旦担ng 単o叩i ga谷p nhieu h担n be辰nh van MP ma辿c pha短i. Be辰nh th旦担淡ng ga谷p nha叩t sau RAA(Be辰nh hau nh旦 luo但n luo但n ke叩t h担誰p v担湛i be辰nh ly湛 van 2 la湛 va淡 be辰nh ly湛 van MC). Ca湛c nguye但n nha但n kha湛c:Vie但m no辰i ta但m ma誰c nhie達m tru淡ng,Cha叩n th旦担ng ng旦誰c,B旦担湛u carcinoid
6/19/2013 127 X QUANG BENH VAN BA LA MAC PHAI Gia探n buong Tha叩t (P) va淡 Nh坦 (P). Th旦担淡ng kho但ng vo但i ho湛a van 3 la湛. Gia探n TMC tre但n,TM azygos. Da叩u hie辰u phu誰:Gan to,単o辰i vo淡m hoa淡nh (P) le但n cao. Khi H担短 van 3 la湛+He誰p van 2 la湛 Da叩u ta湛i pha但n pho叩i va淡 単旦担淡ng Kerley gan nh旦 bie叩n ma叩t.
6/19/2013 128 X QUANG BENH VAN BA LA MAC PHAI -Huge right atrium. -Left lower lobe collapse from compression by the dilated heart (arrow). TRICUSPID STENOSIS AND REGURGITATION. RIGHT HEART FAILURE.
6/19/2013 129 X QUANG BENH VAN BA LA MAC PHAI -Enlarged right atrium (large arrows). -Decrease in the pulmonary vasculature. -Small aortic knob. -Typical left border of mitral valve disease (small arrow). -Elevation of the right hemi- diaphragm. TRICUSPID STENOSIS+AORTIC STENOSIS+MITRAL STENOSIS
6/19/2013 130 NG DUNG THC TE
6/19/2013 131 KET LUAN Be辰nh van tim ma辿c pha短i phan l担湛n do RAA. To奪n th旦担ng th旦担淡ng ga谷p nha叩t 担短 van 2 la湛, tie叩p 単e叩n la淡 van MC. Co湛 the奪 ch脱 He誰p 単担n thuan,H担短 単担n thuan, co湛 the奪 He誰p-H担短 ke叩t h担誰p,co湛 the奪 to奪n th旦担ng nhieu van cu淡ng mo辰t lu湛c.
6/19/2013 132

Recommended

4.other acquired heart disease
4.other acquired heart disease4.other acquired heart disease
4.other acquired heart disease
Ngoan Pham
油
6.pulmonary edema and ards
6.pulmonary edema and ards6.pulmonary edema and ards
6.pulmonary edema and ards
Ngoan Pham
油
Mimicker lung cancer
Mimicker lung cancerMimicker lung cancer
Mimicker lung cancer
Ngoan Pham
油
05032013 chan thuongxuong
05032013 chan thuongxuong05032013 chan thuongxuong
05032013 chan thuongxuong
Ngoan Pham
油
畉c i畛m h狸nh 畉nh v gi叩 tr畛 c畛a c畛ng h動畛ng t畛 trong ch畉n o叩n u mng t畛y
畉c i畛m h狸nh 畉nh v gi叩 tr畛 c畛a c畛ng h動畛ng t畛 trong ch畉n o叩n u mng t畛y畉c i畛m h狸nh 畉nh v gi叩 tr畛 c畛a c畛ng h動畛ng t畛 trong ch畉n o叩n u mng t畛y
畉c i畛m h狸nh 畉nh v gi叩 tr畛 c畛a c畛ng h動畛ng t畛 trong ch畉n o叩n u mng t畛y
Luanvanyhoc.com-Zalo 0927.007.596
油
2.reading radiograph
2.reading radiograph2.reading radiograph
2.reading radiograph
Ngoan Pham
油
Bs.tuong ha nttktu
Bs.tuong ha nttktuBs.tuong ha nttktu
Bs.tuong ha nttktu
Ngoan Pham
油
13052013 hinh anhphoisosinh_bslinh
13052013 hinh anhphoisosinh_bslinh13052013 hinh anhphoisosinh_bslinh
13052013 hinh anhphoisosinh_bslinh
Ngoan Pham
油
Anhgiavacambaytrongxqnguc
AnhgiavacambaytrongxqngucAnhgiavacambaytrongxqnguc
Anhgiavacambaytrongxqnguc
Ngoan Pham
油
H狸nh 畉nh c畛ng h動畛ng t畛 r嘆 h畉u m担n
H狸nh 畉nh c畛ng h動畛ng t畛 r嘆 h畉u m担nH狸nh 畉nh c畛ng h動畛ng t畛 r嘆 h畉u m担n
H狸nh 畉nh c畛ng h動畛ng t畛 r嘆 h畉u m担n
Nguyen Duy Hung
油
2.pulmonary vasculature
2.pulmonary vasculature 2.pulmonary vasculature
2.pulmonary vasculature
Ngoan Pham
油
Hinh anh do dong tinh mach man cung
Hinh anh do dong tinh mach man cungHinh anh do dong tinh mach man cung
Hinh anh do dong tinh mach man cung
Ngoan Pham
油
Bs.tuong cpb tt hinh qua ta
Bs.tuong cpb tt hinh qua taBs.tuong cpb tt hinh qua ta
Bs.tuong cpb tt hinh qua ta
Ngoan Pham
油
Bs.tuong benh ly chat trang
Bs.tuong benh ly chat trangBs.tuong benh ly chat trang
Bs.tuong benh ly chat trang
Ngoan Pham
油
SLAP & PASTA Lesions 01-2013
SLAP & PASTA Lesions 01-2013SLAP & PASTA Lesions 01-2013
SLAP & PASTA Lesions 01-2013
Alan M. Hirahara, M.D., FRCSC
油
Vai tr嘆 c畛a mri trong ho畉i t畛 ch畛m
Vai tr嘆 c畛a mri trong ho畉i t畛 ch畛mVai tr嘆 c畛a mri trong ho畉i t畛 ch畛m
Vai tr嘆 c畛a mri trong ho畉i t畛 ch畛m
Ngoan Pham
油
Gi畉 ung th動 ph畛i
Gi畉 ung th動 ph畛iGi畉 ung th動 ph畛i
Gi畉 ung th動 ph畛i
Ngoan Pham
油
Mri bao cao ton thong khop goi(bacsihoasung.wordpress.com)
Mri bao cao ton thong khop goi(bacsihoasung.wordpress.com)Mri bao cao ton thong khop goi(bacsihoasung.wordpress.com)
Mri bao cao ton thong khop goi(bacsihoasung.wordpress.com)
T動畛ng L棚 Vn
油
K vom
K vomK vom
K vom
Ngoan Pham
油
Bs.tuong d畛 d畉ng m畉ch m叩u n達o
Bs.tuong d畛 d畉ng m畉ch m叩u n達oBs.tuong d畛 d畉ng m畉ch m叩u n達o
Bs.tuong d畛 d畉ng m畉ch m叩u n達o
Ngoan Pham
油
H狸nh 畉nh mri kctc
H狸nh 畉nh mri kctcH狸nh 畉nh mri kctc
H狸nh 畉nh mri kctc
Ngoan Pham
油
Bs.tuong mri trong dong kinh
Bs.tuong mri trong dong kinhBs.tuong mri trong dong kinh
Bs.tuong mri trong dong kinh
Ngoan Pham
油
Mri u bu畛ng tr畛ng
Mri u bu畛ng tr畛ngMri u bu畛ng tr畛ng
Mri u bu畛ng tr畛ng
Ngoan Pham
油
Mri adenomyosis uterine
Mri adenomyosis uterineMri adenomyosis uterine
Mri adenomyosis uterine
Ngoan Pham
油
02082013 mri cot_song_bsha
02082013 mri cot_song_bsha02082013 mri cot_song_bsha
02082013 mri cot_song_bsha
Ngoan Pham
油
Bs.tuong mri tuyen yen
Bs.tuong mri tuyen yenBs.tuong mri tuyen yen
Bs.tuong mri tuyen yen
Ngoan Pham
油
MRI of the shoulder
MRI of the shoulderMRI of the shoulder
MRI of the shoulder
Thorsang Chayovan
油
Shoulder labral tears MRI
Shoulder labral tears MRIShoulder labral tears MRI
Shoulder labral tears MRI
Dr. Mohit Goel
油
Swi aplication
Swi aplicationSwi aplication
Swi aplication
Ngoan Pham
油
Mri appendicitis
Mri appendicitisMri appendicitis
Mri appendicitis
Ngoan Pham
油

More Related Content

Viewers also liked (20)

Anhgiavacambaytrongxqnguc
AnhgiavacambaytrongxqngucAnhgiavacambaytrongxqnguc
Anhgiavacambaytrongxqnguc
Ngoan Pham
油
H狸nh 畉nh c畛ng h動畛ng t畛 r嘆 h畉u m担n
H狸nh 畉nh c畛ng h動畛ng t畛 r嘆 h畉u m担nH狸nh 畉nh c畛ng h動畛ng t畛 r嘆 h畉u m担n
H狸nh 畉nh c畛ng h動畛ng t畛 r嘆 h畉u m担n
Nguyen Duy Hung
油
2.pulmonary vasculature
2.pulmonary vasculature 2.pulmonary vasculature
2.pulmonary vasculature
Ngoan Pham
油
Hinh anh do dong tinh mach man cung
Hinh anh do dong tinh mach man cungHinh anh do dong tinh mach man cung
Hinh anh do dong tinh mach man cung
Ngoan Pham
油
Bs.tuong cpb tt hinh qua ta
Bs.tuong cpb tt hinh qua taBs.tuong cpb tt hinh qua ta
Bs.tuong cpb tt hinh qua ta
Ngoan Pham
油
Bs.tuong benh ly chat trang
Bs.tuong benh ly chat trangBs.tuong benh ly chat trang
Bs.tuong benh ly chat trang
Ngoan Pham
油
SLAP & PASTA Lesions 01-2013
SLAP & PASTA Lesions 01-2013SLAP & PASTA Lesions 01-2013
SLAP & PASTA Lesions 01-2013
Alan M. Hirahara, M.D., FRCSC
油
Vai tr嘆 c畛a mri trong ho畉i t畛 ch畛m
Vai tr嘆 c畛a mri trong ho畉i t畛 ch畛mVai tr嘆 c畛a mri trong ho畉i t畛 ch畛m
Vai tr嘆 c畛a mri trong ho畉i t畛 ch畛m
Ngoan Pham
油
Gi畉 ung th動 ph畛i
Gi畉 ung th動 ph畛iGi畉 ung th動 ph畛i
Gi畉 ung th動 ph畛i
Ngoan Pham
油
Mri bao cao ton thong khop goi(bacsihoasung.wordpress.com)
Mri bao cao ton thong khop goi(bacsihoasung.wordpress.com)Mri bao cao ton thong khop goi(bacsihoasung.wordpress.com)
Mri bao cao ton thong khop goi(bacsihoasung.wordpress.com)
T動畛ng L棚 Vn
油
K vom
K vomK vom
K vom
Ngoan Pham
油
Bs.tuong d畛 d畉ng m畉ch m叩u n達o
Bs.tuong d畛 d畉ng m畉ch m叩u n達oBs.tuong d畛 d畉ng m畉ch m叩u n達o
Bs.tuong d畛 d畉ng m畉ch m叩u n達o
Ngoan Pham
油
H狸nh 畉nh mri kctc
H狸nh 畉nh mri kctcH狸nh 畉nh mri kctc
H狸nh 畉nh mri kctc
Ngoan Pham
油
Bs.tuong mri trong dong kinh
Bs.tuong mri trong dong kinhBs.tuong mri trong dong kinh
Bs.tuong mri trong dong kinh
Ngoan Pham
油
Mri u bu畛ng tr畛ng
Mri u bu畛ng tr畛ngMri u bu畛ng tr畛ng
Mri u bu畛ng tr畛ng
Ngoan Pham
油
Mri adenomyosis uterine
Mri adenomyosis uterineMri adenomyosis uterine
Mri adenomyosis uterine
Ngoan Pham
油
02082013 mri cot_song_bsha
02082013 mri cot_song_bsha02082013 mri cot_song_bsha
02082013 mri cot_song_bsha
Ngoan Pham
油
Bs.tuong mri tuyen yen
Bs.tuong mri tuyen yenBs.tuong mri tuyen yen
Bs.tuong mri tuyen yen
Ngoan Pham
油
MRI of the shoulder
MRI of the shoulderMRI of the shoulder
MRI of the shoulder
Thorsang Chayovan
油
Shoulder labral tears MRI
Shoulder labral tears MRIShoulder labral tears MRI
Shoulder labral tears MRI
Dr. Mohit Goel
油
Anhgiavacambaytrongxqnguc
AnhgiavacambaytrongxqngucAnhgiavacambaytrongxqnguc
Anhgiavacambaytrongxqnguc
Ngoan Pham
油
H狸nh 畉nh c畛ng h動畛ng t畛 r嘆 h畉u m担n
H狸nh 畉nh c畛ng h動畛ng t畛 r嘆 h畉u m担nH狸nh 畉nh c畛ng h動畛ng t畛 r嘆 h畉u m担n
H狸nh 畉nh c畛ng h動畛ng t畛 r嘆 h畉u m担n
Nguyen Duy Hung
油
2.pulmonary vasculature
2.pulmonary vasculature 2.pulmonary vasculature
2.pulmonary vasculature
Ngoan Pham
油
Hinh anh do dong tinh mach man cung
Hinh anh do dong tinh mach man cungHinh anh do dong tinh mach man cung
Hinh anh do dong tinh mach man cung
Ngoan Pham
油
Bs.tuong cpb tt hinh qua ta
Bs.tuong cpb tt hinh qua taBs.tuong cpb tt hinh qua ta
Bs.tuong cpb tt hinh qua ta
Ngoan Pham
油
Bs.tuong benh ly chat trang
Bs.tuong benh ly chat trangBs.tuong benh ly chat trang
Bs.tuong benh ly chat trang
Ngoan Pham
油
SLAP & PASTA Lesions 01-2013
SLAP & PASTA Lesions 01-2013SLAP & PASTA Lesions 01-2013
SLAP & PASTA Lesions 01-2013
Alan M. Hirahara, M.D., FRCSC
油
Vai tr嘆 c畛a mri trong ho畉i t畛 ch畛m
Vai tr嘆 c畛a mri trong ho畉i t畛 ch畛mVai tr嘆 c畛a mri trong ho畉i t畛 ch畛m
Vai tr嘆 c畛a mri trong ho畉i t畛 ch畛m
Ngoan Pham
油
Gi畉 ung th動 ph畛i
Gi畉 ung th動 ph畛iGi畉 ung th動 ph畛i
Gi畉 ung th動 ph畛i
Ngoan Pham
油
Mri bao cao ton thong khop goi(bacsihoasung.wordpress.com)
Mri bao cao ton thong khop goi(bacsihoasung.wordpress.com)Mri bao cao ton thong khop goi(bacsihoasung.wordpress.com)
Mri bao cao ton thong khop goi(bacsihoasung.wordpress.com)
T動畛ng L棚 Vn
油
K vom
K vomK vom
K vom
Ngoan Pham
油
Bs.tuong d畛 d畉ng m畉ch m叩u n達o
Bs.tuong d畛 d畉ng m畉ch m叩u n達oBs.tuong d畛 d畉ng m畉ch m叩u n達o
Bs.tuong d畛 d畉ng m畉ch m叩u n達o
Ngoan Pham
油
H狸nh 畉nh mri kctc
H狸nh 畉nh mri kctcH狸nh 畉nh mri kctc
H狸nh 畉nh mri kctc
Ngoan Pham
油
Bs.tuong mri trong dong kinh
Bs.tuong mri trong dong kinhBs.tuong mri trong dong kinh
Bs.tuong mri trong dong kinh
Ngoan Pham
油
Mri u bu畛ng tr畛ng
Mri u bu畛ng tr畛ngMri u bu畛ng tr畛ng
Mri u bu畛ng tr畛ng
Ngoan Pham
油
Mri adenomyosis uterine
Mri adenomyosis uterineMri adenomyosis uterine
Mri adenomyosis uterine
Ngoan Pham
油
02082013 mri cot_song_bsha
02082013 mri cot_song_bsha02082013 mri cot_song_bsha
02082013 mri cot_song_bsha
Ngoan Pham
油
Bs.tuong mri tuyen yen
Bs.tuong mri tuyen yenBs.tuong mri tuyen yen
Bs.tuong mri tuyen yen
Ngoan Pham
油
MRI of the shoulder
MRI of the shoulderMRI of the shoulder
MRI of the shoulder
Thorsang Chayovan
油
Shoulder labral tears MRI
Shoulder labral tears MRIShoulder labral tears MRI
Shoulder labral tears MRI
Dr. Mohit Goel
油

More from Ngoan Pham (8)

Swi aplication
Swi aplicationSwi aplication
Swi aplication
Ngoan Pham
油
Mri appendicitis
Mri appendicitisMri appendicitis
Mri appendicitis
Ngoan Pham
油
Tiep can hach co
Tiep can hach coTiep can hach co
Tiep can hach co
Ngoan Pham
油
Mri kh畛p vai
Mri kh畛p vaiMri kh畛p vai
Mri kh畛p vai
Ngoan Pham
油
HA hoc mat
HA hoc matHA hoc mat
HA hoc mat
Ngoan Pham
油
h狸nh 畉nh c叩c u 董n 畛c 畛 CS
h狸nh 畉nh c叩c u 董n 畛c 畛 CS h狸nh 畉nh c叩c u 董n 畛c 畛 CS
h狸nh 畉nh c叩c u 董n 畛c 畛 CS
Ngoan Pham
油
Hach o bung
Hach o bungHach o bung
Hach o bung
Ngoan Pham
油
H狸nh 畉nh g達y m畛t c畛t s畛ng
H狸nh 畉nh g達y m畛t c畛t s畛ngH狸nh 畉nh g達y m畛t c畛t s畛ng
H狸nh 畉nh g達y m畛t c畛t s畛ng
Ngoan Pham
油
Swi aplication
Swi aplicationSwi aplication
Swi aplication
Ngoan Pham
油
Mri appendicitis
Mri appendicitisMri appendicitis
Mri appendicitis
Ngoan Pham
油
Tiep can hach co
Tiep can hach coTiep can hach co
Tiep can hach co
Ngoan Pham
油
Mri kh畛p vai
Mri kh畛p vaiMri kh畛p vai
Mri kh畛p vai
Ngoan Pham
油
HA hoc mat
HA hoc matHA hoc mat
HA hoc mat
Ngoan Pham
油
h狸nh 畉nh c叩c u 董n 畛c 畛 CS
h狸nh 畉nh c叩c u 董n 畛c 畛 CS h狸nh 畉nh c叩c u 董n 畛c 畛 CS
h狸nh 畉nh c叩c u 董n 畛c 畛 CS
Ngoan Pham
油
Hach o bung
Hach o bungHach o bung
Hach o bung
Ngoan Pham
油
H狸nh 畉nh g達y m畛t c畛t s畛ng
H狸nh 畉nh g達y m畛t c畛t s畛ngH狸nh 畉nh g達y m畛t c畛t s畛ng
H狸nh 畉nh g達y m畛t c畛t s畛ng
Ngoan Pham
油

3.acquired valvular heart disease

  • 1. 1 CHAN OAN HNH ANH BENH VAN TIM MAC PHAI BS.NGUYEN QUY KHOANG BS.NGUYEN QUANG TRONG 6/19/2013
  • 2. 2 DAN BAI He誰p van 2 la湛. a誰i c旦担ng. X quang He誰p van 2 la湛 nhe誰. X quang He誰p van 2 la湛 trung b狸nh-na谷ng. Thay 単o奪i ve tim. Thay 単o奪i ve ma誰ch ma湛u. Thay 単o奪i ve chu短 mo但 pho奪i. 6/19/2013
  • 3. 3 DAN BAI H担短 van 2 la湛. a誰i c旦担ng. X quang H担短 van 2 la湛 nhe誰. X quang H担短 van 2 la湛 trung b狸nh. X quang He誰p van 2 la湛 na谷ng. Ca湛c the奪 ke叩t h担誰p. 6/19/2013
  • 4. 4 DAN BAI He誰p van o辰ng ma誰ch chu短. a誰i c旦担ng. X quang. Co辰ng h旦担短ng t旦淡. 6/19/2013
  • 5. 5 DAN BAI H担短 van o辰ng ma誰ch chu短. a誰i c旦担ng. X quang. Chu誰p co湛 ca短n quang. Co辰ng h旦担短ng t旦淡. 6/19/2013
  • 6. 6 DAN BAI Be辰nh ly湛 van o辰ng ma誰ch pho奪i. Be辰nh ly湛 van 3 la湛. ng du誰ng la但m sa淡ng. Ke叩t lua辰n. 6/19/2013
  • 7. 7 AI CNG HEP VAN HAI LA (MITRAL STENOSIS) Be辰nh th旦担淡ng ga谷p 担短 Vie辰t Nam. 50% la淡 do Tha叩p tim (RAA).N旦探/Nam=8/1. Ca湛c nguye但n nha但n kha湛c: Vie但m no辰i ta但m ma誰c nhie達m tru淡ng (Bacterial endocarditis). U nhay nh坦 (T)(LA myxoma). 6/19/2013
  • 8. 8 AI CNG HEP VAN HAI LA 6/19/2013
  • 9. 9 X QUANG HEP VAN HAI LA NHE B狸nh th旦担淡ng S lo達 van=4-6cm2. He誰p nhe誰 khi 2cm2 S < 4cm2. Ap l旦誰c mao ma誰ch pho奪i =10-12mmHg. La但m sa淡ng: Rung ta但m tr旦担ng (+). 6/19/2013
  • 10. 10 X QUANG HEP VAN HAI LA NHE NORMAL MITRAL VALVE MITRAL STENOSIS 6/19/2013
  • 11. 11 X QUANG HEP VAN HAI LA NHE X quang: Bo湛ng tim ch旦a tha叩y thay 単o奪i g狸. Pha但n bo叩 ma誰ch ma湛u pho奪i cu探ng ch旦a tha叩y thay 単o奪i. Do va辰y,X quang tim-pho奪i b狸nh th旦担淡ng kho但ng loa誰i tr旦淡 単旦担誰c He誰p van hai la湛. 6/19/2013
  • 12. 12 X QUANG HEP VAN HAI LA TRUNG BNH-NANG He誰p trung b狸nh khi 1cm2 S < 2cm2. Ap l旦誰c mao ma誰ch pho奪i =10-17mmHg. He誰p na谷ng khi S lo達 van < 1cm2. Ap l旦誰c mao ma誰ch pho奪i 18mmHg. 6/19/2013
  • 13. 13 X QUANG HEP VAN HAI LA TRUNG BNH-NANG Sinh ly湛 be辰nh: Ta辿c nghe探n do淡ng cha短y t旦淡 Nh坦 (T) xuo叩ng Tha叩t (T) Ta棚ng a湛p l旦誰c Nh坦 (T) Da探n buong Nh坦 (T) Ta棚ng a湛p l旦誰c TM pho奪i Ta棚ng a湛p l旦誰c M pho奪i Ta棚ng a湛p l旦誰c Tha叩t (P) Gia探n buong Tha叩t (P). 6/19/2013
  • 14. 14 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM Da探n buong Nh坦 (T) khi 単旦担淡ng k鱈nh Nh坦 (T)>7cm (単o t旦淡 b担淡 d旦担湛i PQ go叩c (T) 単e叩n b担淡 pha短i Nh坦 (T)). Phe叩 qua短n go叩c (T) b嘆 単a奪y le但n cao. Co湛 h狸nh a短nh b担淡 単o但i 担短 b担淡 (P) cu短a tim. 6/19/2013
  • 15. 15 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM gMC xuo叩ng b嘆 単a奪y qua (T). Phim tha炭ng co湛 uo叩ng Baryte:Th旦誰c qua短n co湛 the奪 b嘆 単a奪y le辰ch,th旦担淡ng la淡 qua (P),単o但i khi b嘆 単a奪y le辰ch qua (T). Phim che叩ch tr旦担湛c (P)(RAO) co湛 uo叩ng Baryte:Th旦誰c qua短n b嘆 単a奪y ra sau ro探 nha叩t. 6/19/2013
  • 16. 16 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM 6/19/2013
  • 17. 17 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM 6/19/2013
  • 18. 18 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM 6/19/2013
  • 19. 19 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM 6/19/2013
  • 20. 20 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM LEFT ATRIAL ENLARGEMENT is best confirmed by measuring the distance from the midinferior border of the left main bronchus to the right lateral border of the left atrial density. -This distance is less than 7cm in 90% of normal patients and is greater than 7cm in 90% of left atrial enlargement patients,as proven by echocardiography. -This measurement can be approximated by placing ones right fifth finger under the left bronchus,and while keeping the fingers closed,if the left atrium is seen beyond ones four fingertips,the left atrium is enlarged. 6/19/2013
  • 21. 21 PULMONARY EDEMA / MITRAL STENOSIS AFTER TREATMENT 6/19/2013
  • 22. 22 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM MITRAL STENOSIS Enlarged LAA 6/19/2013
  • 23. 23 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM Enlargement of the left atrial appendage. 6/19/2013
  • 24. 24 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM -Elevation of left main bronchus. -Double shadow of the large left atrium (arrow). -Right atrial border is limited below by the entry of the inferior vena cava. 6/19/2013
  • 25. 25 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM -Elevation of left main bronchus. -Splaying of the carina. -Descending aorta (arrow) has been displaced to the left by the large left atrium. 6/19/2013
  • 26. 26 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM RAO-MITRAL STENOSIS Enlarged LA 6/19/2013
  • 27. 27 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM Ca淡ng nga淡y Nh坦 (T) ca淡ng to ra,nha叩t la淡 khi co湛 Rung nh坦.Nh坦 (T)co湛 the奪 v旦担誰t ra ngoa淡i b担淡 Nh坦 (P). Cung MP cu探ng to ra do ta棚ng a湛p trong buong Tha叩t (P). 6/19/2013
  • 28. 28 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM Tie奪u nh坦 (T) da探n l担湛n bie奪u hie辰n ba竪ng cung th旦湛 4 be但n (T),ngay d旦担湛i cung M pho奪i.a但y la淡 da叩u hie辰u co湛 s担湛m nha叩t cu短a He誰p van 2 la湛. B担淡 (T) tim cu探ng co湛 the奪 bie奪u hie辰n la淡 mo辰t 単旦担淡ng tha炭ng hoa谷c loi ra (Mitralisation du bord gauche du coeur). 6/19/2013
  • 29. 29 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM Hie辰n t旦担誰ng Mitralisation ro探 la淡 nh担淡 Quai MC nho短 do gia短m cung l旦担誰ng tim (l旦担誰ng ma湛u ve Tha叩t (T) 鱈t). Ne叩u Quai MC to,can pha短i chu湛 y湛 xem co湛 ke叩t h担誰p the但m be辰nh kha湛c nh旦 He誰p van MC,H担短 van MC. Quai TM Azygos da探n (>7mm). 6/19/2013
  • 30. 30 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM Tha叩t (T) co湛 k鱈ch th旦担湛c b狸nh th旦担淡ng,ch脱 so叩 T/N 0,5. Ve sau Tha叩t (P) da探n Ch脱 so叩 T/N ta棚ng. (Kho湛 cha奪n 単oa湛n pha但n bie辰t v担湛i Da淡y tha叩t (T) tre但n h狸nh tha炭ng,can h狸nh nghie但ng (T)-Tha叩t (P) che la叩p khoa短ng sa湛ng sau 旦湛c). 6/19/2013
  • 31. 6/19/2013 31 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM H狸nh a短nh 鱈t ga谷p la淡 vo但i ho湛a van hai la湛(40%), vo淡ng van 2 la湛(10%) va淡 担短 tha淡nh Nh坦 (T). Phim nghie但ng (T):Nh坦 (T) to 単a奪y PQ go叩c (T) ra sau (Walking man sign).
  • 32. 6/19/2013 32 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM MITRAL STENOSIS
  • 33. 6/19/2013 33 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM -Enlarged veins. -Bulging of the pulmonary artery. -Double density due to enlarged left atrium. -Right lateral displacement of esophagus. SEVERE MITRAL STENOSIS
  • 34. 6/19/2013 34 X QUANG CHAN OAN PHAN BIET Pectus excavatum-Cardiac silhouette is rotated and displaced to the patients left,and the left cardiac border is straight simulating mitral valve disease.
  • 35. 6/19/2013 35 X QUANG CHAN OAN PHAN BIET 10-year-old asymptomatic boy with an unusual contour of the left upper heart border on a chest X-ray.
  • 36. 6/19/2013 36 X QUANG CHAN OAN PHAN BIET Coronal T1-weighted:Bulging of the left atrial appendage related to partial absence of the pericardium.
  • 37. 6/19/2013 37 X QUANG CHAN OAN PHAN BIET PARTIAL ABSENCE OF THE PERICARDIUM
  • 38. 6/19/2013 38 X QUANG HEP VAN HAI LA TRUNG BNH-NANG WALKING MAN SIGN -The right main bronchus is outlined. -The lower lobe bronchus is displaced posteriorly (large arrowheads). -Calcification of the wall of the left atrium (small arrowheads).
  • 39. 6/19/2013 39 X QUANG HEP VAN HAI LA TRUNG BNH-NANG
  • 40. 6/19/2013 40 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM
  • 41. 6/19/2013 41 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM -RAO:enlargement of the left atrium(large black arrow). -The mitral valve is calcified(small black arrow). -The pulmonary outflow tract is enlarged(white arrow).
  • 42. 6/19/2013 42 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM C-shaped calcification in the mitral valve ring-Lateral view. Calcification in the wall of the left atrium.
  • 43. 6/19/2013 43 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM Calcification within the left atrium.
  • 44. 6/19/2013 44 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM Left atrial calcification (Lateral view).
  • 45. 6/19/2013 45 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM -Left atrial calcification (white arrows). -Calcified mitral valve (black arrow).
  • 46. 6/19/2013 46 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM -Calcified mitral valve. -Esophagus is pushed posteriorly by the enlarged left atrium.
  • 47. 6/19/2013 47 X QUANG THAY OI VE TIM Mitral annular calcification in asymptomatic patients.
  • 48. 6/19/2013 48 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI Ta棚ng tuan hoa淡n pho奪i thu誰 単o辰ng (Ta棚ng tuan hoa淡n pho奪i sau mao ma誰ch): Ta湛i pha但n pho叩i ma誰ch ma湛u pho奪i xua叩t hie辰n s担湛m khi ALTT>12mmHg. Xua叩t hie辰n ca湛c 単旦担淡ng Kerley A,B,C,D khi ALTT>18mmHg.Th旦担淡ng tha叩y nha叩t la淡 Kerley B.
  • 49. 6/19/2013 49 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI MP to dan Kho湛 cha奪n 単oa湛n pha但n bie辰t gi旦探a CIA v担湛i RM+HVD. CIA:Nh坦 (T) kho但ng to,kho但ng co湛 ta湛i pha但n pho叩i. Ve sau,MP to 担短 trung ta但m,nho短 担短 ngoa誰i vi (T狸nh tra誰ng ta棚ng a湛p MP la但u nga淡y Tha淡nh tie奪u 単o辰ng ma誰ch da淡y le但n).
  • 50. 50 Tu畉n hon ph畛i b狸nh th動畛ng T叩i ph但n ph畛i m畉ch m叩u ph畛i 6/19/2013
  • 52. 52 Dy v叩ch li棚n ti畛u th湛y 6/19/2013
  • 53. 53 CARDIAC FAILURE -Enlarged heart size. -No clear heart border (interstitiel edema), Kerleys line, pleural effusion. -Redistribution. 6/19/2013
  • 54. 6/19/2013 54 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI -Left ventricle has normal size. -Dilated upper lobe vessels. -Bulging of the left atrial appendage. -Elevation of the left main bronchus. -Double contour of the right heart border. MITRAL STENOSIS
  • 55. 6/19/2013 55 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI -Small aortic knob. -Bulging of the main pulmonary artery. -Bulging of the left atrial appendage(large white arrow). -Elevation of the left main bronchus(black arrowheads). -Double density through the heart shadow(black arrows). -Redistribution(small white arrows). -The hilar vasculature is prominent(white arrowhead).
  • 56. 6/19/2013 56 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI -Dilated upper lobe vessels. -Bulging of the pulmonary artery. -Elevation of the left main bronchus. -Double contour of the right heart border.
  • 57. 6/19/2013 57 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI -Left main bronchus is displaced posteriorly by the large left atrium. -Large right ventricle touches the sternum. MITRAL STENOSIS
  • 58. 6/19/2013 58 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI PULMONARY ARTERIAL ANEURYSM / SEVERE MITRAL STENOSIS
  • 59. 6/19/2013 59 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI
  • 60. 6/19/2013 60 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TUAN HOAN PHOI
  • 61. 6/19/2013 61 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-CAP TNH Phu淡 pho奪i mo但 ke探. Phu淡 pho奪i phe叩 nang.
  • 62. 6/19/2013 62 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-CAP TNH PULMONARY INTERSTITIAL EDEMA
  • 63. 6/19/2013 63 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-CAP TNH PULMONARY EDEMA
  • 64. 6/19/2013 64 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-MAN TNH ng旦担淡i He誰p van 2 la湛 la但u na棚m, 1/3 gi旦探a va淡 1/3 d旦担湛i co湛 nh旦探ng 単o叩m Hemosiderine do Hb thoa湛t ra ngoa淡i Hong cau (1/3 d旦担湛i nhieu h担n 1/3 gi旦探a). Hemosiderine b嘆 a棚n b担短i a誰i th旦誰c ba淡o Hemosiderose. Pha但n bie辰t v担湛iLao pho奪i ke但:No叩t ke但 ra短i kha辿p pho奪i (ca短 3 phan tre但n,gi旦探a va淡 d旦担湛i pho奪i).
  • 65. 6/19/2013 65 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-MAN TNH X担 pho奪i:nh旦探ng da短i m担淡 sa辿c ne湛t. Da淡y d鱈nh ma淡ng pho奪i:do thoa湛t d嘆ch Da淡y d鱈nh. Nh旦探ng vu淡ng m担淡 cu短a nhoi ma湛u pho奪i cu探.
  • 66. 6/19/2013 66 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-MAN TNH Nhoi ma湛u pho奪i (Pulmonary infarction) la淡 mo辰t bie叩n ch旦湛ng th旦担淡ng ga谷p cu短a be辰nh van 2 la湛 v狸 thuye但n ta辿c co湛 nguon go叩c t旦淡: Hoa谷c do nh旦探ng cu誰c ma湛u 単o但ng 担短 ngoa誰i vi v狸 cung l旦担誰ng tim tha叩p. Hoa谷c do cu誰c ma湛u 単o但ng t旦淡 Nh坦 (P) xua叩t hie辰n sau Rung nh坦.
  • 67. 6/19/2013 67 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-MAN TNH -The cardiac silhouette is typical of mitral stenosis. -Consolidation and pleural reaction at the left base pulmonary infarction.
  • 68. 6/19/2013 68 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-MAN TNH HEMOSIDEROSIS IN MITRAL STENOSIS
  • 69. 6/19/2013 69 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE CHU MO PHOI-MAN TNH KERLEYS B LINES & HEMOSIDEROSIS IN MITRAL STENOSIS
  • 70. 6/19/2013 70 AI CNG H VAN HAI LA (MITRAL REGURGITATION) H担短 van 2 la湛 co湛 the奪 ca叩p t鱈nh:旦湛t da但y cha竪ng-co辰t c担 (sau Nhoi ma湛u c担 tim,Vie但m no辰i ta但m ma誰c nhie達m tru淡ng) H担短 2 la湛 nh旦ng Tha叩t (T) ch旦a k嘆p gia探n ro辰ng. H担短 van 2 la湛 co湛 the奪 ma誰n t鱈nh:Sau RAA, hoa谷c do lo達 van gia探n ro辰ng (Ho辰i ch旦湛ng Marfan, Be辰nh c担 tim)
  • 71. 6/19/2013 71 X QUANG H VAN HAI LA NHE Tha叩t (T) va淡 Nh坦 (T) gia探n l担湛n do overload. Nh坦 (T) co淡n bu淡 X quang tim-pho奪i b狸nh th旦担淡ng du淡 tre但n La但m sa淡ng nghe ATTT. Do va辰y,cu探ng nh旦 He誰p van 2 la湛,X quang tim-pho奪i b狸nh th旦担淡ng kho但ng loa誰i tr旦淡 単旦担誰c H担短 van 2 la湛.
  • 72. 6/19/2013 72 X QUANG H VAN HAI LA TRUNG BNH Nh坦 (T) co淡n bu淡. Nh坦 (T) to ra,nh旦ng a湛p sua叩t ch旦a ta棚ng nhieu. Tha叩t (T) cu探ng gia探n to v旦淡a pha短i. Quai MC nho短 do cung l旦担誰ng tim gia短m.
  • 73. 6/19/2013 73 X QUANG H VAN HAI LA NANG Nh坦 (T) ma叩t bu淡. Nh坦 (T) to ra,a湛p sua叩t ta棚ng cao.Ne叩u so sa湛nh v担湛i He誰p 2 la湛 ,th狸 Nh坦 (T) to h担n nhieu,co湛 khi v旦担誰t ra ngoa淡i b担淡 cu短a Nh坦 (P). Tha叩t (T) to ra,ta誰o ne但n h狸nh a短nh big heart disease. Tre但n h狸nh nghie但ng hoa谷c LAO: Tha叩t (T) to che la叩p khoa短ng sa湛ng sau tim.
  • 74. 6/19/2013 74 X QUANG H VAN HAI LA NANG Quai MC nho短 do cung l旦担誰ng tim gia短m. Ph狸nh cung MP Mitralisation du bord gauche du coeur. Ta湛i pha但n pho叩i tuan hoa淡n pho奪i. Ca湛c 単旦担淡ng Kerley 鱈t ga谷p h担n va淡 kho但ng ro探 so v担湛i He誰p van 2 la湛.
  • 75. 6/19/2013 75 X QUANG H VAN HAI LA NANG MITRAL REGURGITATION
  • 76. 6/19/2013 76 X QUANG H VAN HAI LA NANG -Small aortic knob. -Peribronchial cuffing due to edema. -Bulging of the pulmonary artery. -Left ventricular enlargement.
  • 77. 6/19/2013 77 X QUANG H VAN HAI LA NANG MITRAL REGURGITATION
  • 78. 6/19/2013 78 X QUANG H VAN HAI LA NANG -Straightening of the left heart border. -Small aortic knob. -Elevation of the left main bronchus. -Bulging of the left atrial appendage. -Huge left atrium. -Enlargement of the cardiac silhouette.
  • 79. 6/19/2013 79 X QUANG H VAN HAI LA NANG Enlarged left atrium. MITRAL REGURGITATION
  • 80. 6/19/2013 80 X QUANG H VAN HAI LA NANG LATERAL VIEW:RETROGRADE BRACHIAL ARTERY CATHETERIZATION. -Left ventricle (small arrows). -Contrast through the incompetent mitral valve into the large left atrium (arrowheads). -Filling of the pulmonary veins (large arrows). MITRAL REGURGITATION
  • 81. 6/19/2013 81 X QUANG H VAN HAI LA NANG -Small aortic knob. -Elevation of the left main bronchus. -Enlargement of the left ventricle and left atrium. -The left atrium is calcified (arrowheads).
  • 82. 6/19/2013 82 X QUANG H VAN HAI LA NANG Calcification of the left atrial wall MITRAL REGURGITATION
  • 83. 6/19/2013 83 X QUANG H VAN HAI LA NANG -Small aortic knob. -Bulging of the main pulmonary artery. -Bulging of the left atrial appendage. -Extreme enlargement of the left atrium. -Enlargement of the cardiac silhouette. -Small right pleural effusion.
  • 84. 6/19/2013 84 X QUANG H VAN HAI LA NANG Calcification of the posterior wall of the huge left atrium. MITRAL REGURGITATION
  • 85. 6/19/2013 85 X QUANG H VAN HAI LA NANG MITRAL REGURGITATION -Small aortic knob. -Elevation of the left main bronchus. -Extreme enlargement of the left atrium (arrows). -Enlargement of the cardiac silhouette.
  • 87. 87 PA view:Dilated left atrial appendage (arrows). Displacement of the left ventricular contour toward the left chest wall. LAT view:Dilated left atrium and ventricle. MITRAL REGURGITATION RETROGRADE LEFT VENTRICULOGRAM: Dilated left atrium and left atrial appendage (arrows). 6/19/2013
  • 88. 6/19/2013 88 X QUANG CAC THE KET HP He誰p+H担短 van 2 la湛:Nh坦 (T) ra叩t l担湛n,co湛 単o湛ng vo但i 担短 van 2 la湛 va淡 tha淡nh Nh坦 (T),tim to toa淡n bo辰. H担短 van 2 la湛+Be辰nh van MC(He誰p,h担短). H担短 van 2 la湛+H担短 van 3 la湛. H担短 van 2 la湛+H担短 van 3 la湛+Be辰nh van MC.
  • 90. 6/19/2013 90 X QUANG CAC THE KET HP Mitral valve stenosis and regurgitation- prosthetic mitral valve
  • 91. 6/19/2013 91 X QUANG CAC THE KET HP MITRAL STENOSIS AND MITRAL REGURGITATION -Small aortic knob. -Enlarged pulmonary artery(2). -Enlarged left atrial appendage(3). -Enlarged left ventricle(4). -Double atrial contour(1).
  • 92. 6/19/2013 92 X QUANG CAC THE KET HP -Typical cardiac configuration of mitral valvular disease. -Calcification of the mitral valve (black arrows). -Calcific density in the left ventricle (white arrows). (Thrombus arose in the left atrium Prolapsed into the left ventricle Calcified thrombus).
  • 93. 6/19/2013 93 X QUANG CAC THE KET HP RAO -Calcification of the mitral valve (black arrows). -Calcific density in the left ventricle (white arrows). MITRAL STENOSIS AND MITRAL REGURGITATION
  • 94. 6/19/2013 94 X QUANG CAC THE KET HP -Small aortic knob. -Bulging of the main pulmonary artery (white arrow). -Enlargement of the left ventricle (large arrowheads). -Enlargement of the left atrium. -Prominent of the superior pulmonary veins (small arrowhead). -Kerleys B lines. MITRAL STENOSIS AND MITRAL REGURGITATION
  • 95. 6/19/2013 95 X QUANG CAC THE KET HP MITRAL STENOSIS AND MITRAL REGURGITATION
  • 96. 6/19/2013 96 X QUANG CAC THE KET HP -Elevation of the left main bronchus (black arrow). -Enlargement of the left ventricle (arrowhead). MITRAL REGURGITATION The aortic valvular lesions was not suspected.It is often impossible to diagnose the combined lesion on plain films. MITRAL REGURGITATION AND AORTIC REGURGITATION
  • 97. 6/19/2013 97 X QUANG HEP VAN HAI LA TRUNG BNH-NANG THAY OI VE TIM SEVERE MITRAL VALVE DISEASE
  • 98. 6/19/2013 98 AI CNG HEP VAN ONG MACH CHU (AORTIC STENOSIS) B狸nh th旦担淡ng SAO=2,5-3,5 cm2. Khi SAO < 0,7cm2 Co湛 trie辰u ch旦湛ng la但m sa淡ng. Sinh ly湛 be辰nh:He誰p van MC Ta棚ng ga湛nh Tha叩t (T) Da淡y 単ong ta但m Tha叩t (T). Gia探n sau he誰p 担短 MC le但n,tha叩y ro探 tre但n phim LAO.
  • 99. 6/19/2013 99 X QUANG HEP VAN ONG MACH CHU B担淡 tim be但n (T) bau do da淡y 単ong ta但m Tha叩t (T),ch脱 so叩 T/N # 0,55. MC le但n cong qua (P). Quai MC kho但ng to v狸 l旦u l旦担誰ng MC gia短m. Ve sau: Mo短m tim chu湛c xuo叩ng do gia探n tha叩t (T). o湛ng vo但i 担短 van MC (85%-sau RAA).
  • 100. 6/19/2013 100 X QUANG HEP VAN ONG MACH CHU Pho叩i h担誰p:He誰p van MC+He誰p van 2 la湛. ng旦担淡i tre短,He誰p van MC ba奪m sinh= Van 2 ma短nh (Bicuspid valve). Cha奪n 単oa湛n pha但n bie辰t: Cao huye叩t a湛p. X担 v旦探a MC.
  • 101. 6/19/2013 101 X QUANG HEP VAN ONG MACH CHU
  • 102. 6/19/2013 102 X QUANG HEP VAN ONG MACH CHU AORTIC STENOSIS
  • 103. 6/19/2013 103 X QUANG HEP VAN ONG MACH CHU AORTIC STENOSIS
  • 104. 6/19/2013 104 X QUANG HEP VAN ONG MACH CHU Calcifications in the heart lie on a line drawn between the sterno-diaphragmatic angle and the carina. CALCIFIED AORTIC VALVE
  • 105. 6/19/2013 105 X QUANG HEP VAN ONG MACH CHU Ascending aorta shows slight post-stenotic dilatation.
  • 106. 6/19/2013 106 X QUANG HEP VAN ONG MACH CHU -Aortic valve calcification (arrow). -Posterior displacement of the left ventricle behind the line of the inferior vena cava. AORTIC STENOSIS
  • 107. 6/19/2013 107 X QUANG HEP VAN ONG MACH CHU -Normal heart size. -Dilated ascending aorta.
  • 108. 6/19/2013 108 X QUANG HEP VAN ONG MACH CHU Calcified aortic valve. AORTIC STENOSIS
  • 109. 6/19/2013 109 X QUANG HEP VAN ONG MACH CHU -Rounded left heart border (arrowheads). -Dilated ascending aorta (small arrows). -The aortic knob is not enlarged.
  • 110. 6/19/2013 110 X QUANG HEP VAN ONG MACH CHU LAO -Bulging of the ascending aorta because of post-stenotic dilatation (arrowheads). -Calcified aortic valve (black arrow). AORTIC STENOSIS
  • 111. 6/19/2013 111 X QUANG HEP VAN ONG MACH CHU
  • 112. 6/19/2013 112 X QUANG HEP VAN ONG MACH CHU AORTIC AND MITRAL STENOSIS
  • 113. 6/19/2013 113 CONG HNG T HEP VAN ONG MACH CHU GRADIENT-ECHO MR -Aortic valve (arrow). -The signal void in the entire ascending aorta due to marked turbulence caused by severe aortic stenosis.
  • 114. 6/19/2013 114 X QUANG H VAN ONG MACH CHU Nguye但n nha但n th旦担淡ng ga谷p nha叩t la淡 sau RAA. Ca湛c nguye但n nha但n kha湛c bao gom:Giang mai,Vie但m no辰i ta但m ma誰c nhie達m tru淡ng,Ho辰i ch旦湛ng Marfan,Cha叩n th旦担ng,MC bo湛c ta湛ch,Vie但m kh担湛p da誰ng tha叩p,Thoa湛i ho湛a sau ghe湛p van sinh ho誰c.
  • 115. 6/19/2013 115 X QUANG H VAN ONG MACH CHU Sinh ly湛 be辰nh:Ma湛u phu誰t ng旦担誰c va淡o Tha叩t (T) trong ky淡 ta但m tr旦担ng Gia探n buong tha叩t (T).Tha叩t (T) gia探n Gia探n vo淡ng van 2 la湛 H担短 van 2 la湛 Gia探n buong Nh坦 (T). Mo短m tim chu湛c xuo叩ng d旦担湛i va淡 ra sau B担淡 (T) tim thoai thoa短i va淡 単脱nh tim 担短 d旦担湛i vo淡m hoa淡nh (T). Ch脱 so叩 T/N > 0,6.
  • 116. 6/19/2013 116 X QUANG H VAN ONG MACH CHU MP kho但ng to,co湛 khi nh旦 lo探m va淡o. MC le但n th旦担淡ng kho但ng gia探n,ne叩u MC le但n gia探n ro探,pha短i coi ch旦淡ng co湛 ke叩t h担誰p v担湛i He誰p van MC. Quai MC hau nh旦 kho但ng thay 単o奪i. Chie叩u X quang:MC 単a辰p ma誰nh.
  • 117. 6/19/2013 117 X QUANG H VAN ONG MACH CHU
  • 118. 6/19/2013 118 X QUANG H VAN ONG MACH CHU -Enlarged left ventricle.The apex is displaced downward (large arrow). -The aorta is slightly prominent but there is no post-stenotic dilatation (small arrows). AORTIC REGURGITATION
  • 119. 6/19/2013 119 X QUANG H VAN ONG MACH CHU -Enlarged left ventricle. -The aorta is slightly prominent but there is no post-stenotic dilatation. AORTIC REGURGITATION
  • 120. 6/19/2013 120 X QUANG H VAN ONG MACH CHU -Enlarged left ventricle. -The aorta is slightly prominent but there is no post-stenotic dilatation. AORTIC REGURGITATION
  • 121. 6/19/2013 121 X QUANG H VAN ONG MACH CHU -Dilated left ventricle. -Post-stenotic dilatation of the ascending aorta (arrow).
  • 122. 6/19/2013 122 X QUANG H VAN ONG MACH CHU -Calcified aortic valve (ring of arrowheads). -Posterior displacement of the dilated left ventricle (row of arrowheads) behind the line of the inferior vena cava (large arrow). AORTIC STENOSIS & REGURGITATION
  • 123. 6/19/2013 123 X QUANG H VAN ONG MACH CHU RETROGRADE AORTOGRAM IN AORTIC REGURGITATION Reflux flow (arrows) in the dilated left ventricle.
  • 124. 6/19/2013 124 CONG HNG T H VAN ONG MACH CHU GRADIENT-ECHO MR Regurgitant flow from the aortic valve into the left ventricle (arrow) AORTIC REGURGITATION
  • 125. 6/19/2013 125 AI CNG BENH VAN ONG MACH PHOI MAC PHAI (ACQUIRED PULMONARY VALVULAR LESIONS) Be辰nh hie叩m khi 単担n 単o辰c va淡 hie叩m khi na谷ng. Be辰nh co湛 the奪 tha叩y trong Ho辰i ch旦湛ng carcinoid. H狸nh a短nh X quang th旦担淡ng ke叩t h担誰p to奪n th旦担ng ca湛c van tim kha湛c.
  • 126. 6/19/2013 126 AI CNG BENH VAN BA LA MAC PHAI (ACQUIRED TRICUSPID LESIONS) T旦担ng 単o叩i ga谷p nhieu h担n be辰nh van MP ma辿c pha短i. Be辰nh th旦担淡ng ga谷p nha叩t sau RAA(Be辰nh hau nh旦 luo但n luo但n ke叩t h担誰p v担湛i be辰nh ly湛 van 2 la湛 va淡 be辰nh ly湛 van MC). Ca湛c nguye但n nha但n kha湛c:Vie但m no辰i ta但m ma誰c nhie達m tru淡ng,Cha叩n th旦担ng ng旦誰c,B旦担湛u carcinoid
  • 127. 6/19/2013 127 X QUANG BENH VAN BA LA MAC PHAI Gia探n buong Tha叩t (P) va淡 Nh坦 (P). Th旦担淡ng kho但ng vo但i ho湛a van 3 la湛. Gia探n TMC tre但n,TM azygos. Da叩u hie辰u phu誰:Gan to,単o辰i vo淡m hoa淡nh (P) le但n cao. Khi H担短 van 3 la湛+He誰p van 2 la湛 Da叩u ta湛i pha但n pho叩i va淡 単旦担淡ng Kerley gan nh旦 bie叩n ma叩t.
  • 128. 6/19/2013 128 X QUANG BENH VAN BA LA MAC PHAI -Huge right atrium. -Left lower lobe collapse from compression by the dilated heart (arrow). TRICUSPID STENOSIS AND REGURGITATION. RIGHT HEART FAILURE.
  • 129. 6/19/2013 129 X QUANG BENH VAN BA LA MAC PHAI -Enlarged right atrium (large arrows). -Decrease in the pulmonary vasculature. -Small aortic knob. -Typical left border of mitral valve disease (small arrow). -Elevation of the right hemi- diaphragm. TRICUSPID STENOSIS+AORTIC STENOSIS+MITRAL STENOSIS
  • 131. 6/19/2013 131 KET LUAN Be辰nh van tim ma辿c pha短i phan l担湛n do RAA. To奪n th旦担ng th旦担淡ng ga谷p nha叩t 担短 van 2 la湛, tie叩p 単e叩n la淡 van MC. Co湛 the奪 ch脱 He誰p 単担n thuan,H担短 単担n thuan, co湛 the奪 He誰p-H担短 ke叩t h担誰p,co湛 the奪 to奪n th旦担ng nhieu van cu淡ng mo辰t lu湛c.
AboutCopyright
息 2025 際際滷