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November 2, 1970

Plain Film Interpretation in Congenital Heart Disease

Author Affiliations

Children's Hospital Boston

JAMA. 1970;214(5):917-918. doi:10.1001/jama.1970.03180050071025

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As an introduction to the field of congenital heart disease devoted solely to the interpretation of plain films, the text serves its avowed purpose. The first section concisely reviews the embryogenesis of the heart and great vessels, outlines the normal radiographic anatomy of the heart, and presents a simple review of the functional changes associated with congenital heart disease. This is followed by a conventional approach to the study of the plain film. Emphasis is placed on the assessment of the pulmonary vascularity, and there are good illustrative examples of normal, diminished, and increased vascularity of the lungs. The evaluation of the pulmonary artery, aorta, and specific chambers is quite standard and well illustrated.

The author presents specific forms of congenital heart disease by grouping them into lesions associated with increased vascularity and cyanosis, with increased vascularity without cyanosis, with decreased pulmonary vascularity, and with normal pulmonary vascularity. It is