J Korean Radiol Soc.  1978 Dec;14(2):307-314. 10.3348/jkrs.1978.14.2.307.

Radiological features of the trilogy of Fallot

• Chung KB
• Im CG
• Yeon KM
• Han MC

• KMID: 2349434
• DOI: http://doi.org/10.3348/jkrs.1978.14.2.307

Abstract

Among the main components of the Trilegy of Fallot. pulmonary stenosis, right ventricular hypertrophy andright to left shunt through the ASD or patent foramen ovale, pulmonary stenosis is the most important factor. Dueto the pulmonary stenosis, right ventricullar and right atrial presssure are increased and this results invenoarterial shunt across the ASD or patent foramen ovale and in cyanosis. Radiological findings of eight cases ofthe Trilogy experienced at the Dept. of Radiology, Seoul National University Hospital, were analysed with their clinical findings. The summerized results were as follows; 1. Male to female ratio was 4:4 , and the age of the patients was distributed between 6 year and 31 year. The common symptoms and signs of the patients were cyanosis, dyspnea on exertion, phalangeal clubbings and grade III-IV systolic murmur. In most cases, the clinical diagnosis was the Tetralogy of Fallot. 2. The characteristic findings of right heart cathetrization were (1) right to left transatrial shunt. (2) increased right ventricular pressure without transventricular shunt, and (3) abrupt decrease of pulmonary arterial pressure. In all eight cases, the right ventricular pressure was elevated more than 100mmHg, and in six cases, the right ventricular pressure was elevated more than systemic blood pressure. 3. Inchest PA view, six of eight cases were presented mild cardiomegaly, however in two cases, the cardiothoracic ratio was under 50%. Important chest PA findings were prominent pulmonary conus, decreased pulmonary vascularity and left atrial enlargement. In all cases, the cardiac apex was not elevated. 4. In right heart cardioangiograms, the right ventricular cavity was small except one case., and infundibular hypertrophy of right ventricle was present in all cases. The left lateral view of right heart cardioangiogram was very useful in the evaluation of the infundibular hypertrophy. pulmonary valvular stenosis and poststenotic dilatation of pulmonary artery, Especially the.

MeSH Terms

Arterial Pressure
Blood Pressure
Cardiomegaly
Constriction, Pathologic
Conus Snail
Cyanosis
Diagnosis
Dilatation
Dyspnea
Female
Foramen Ovale, Patent
Heart
Heart Ventricles
Humans
Hypertrophy
Hypertrophy, Right Ventricular
Male
Pulmonary Artery
Pulmonary Valve Stenosis
Seoul
Systolic Murmurs
Tetralogy of Fallot
Thorax
Trilogy of Fallot*
Ventricular Pressure