Download - Radiología Cardiaca Normal y Patlógica
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FABIOLA YAZMN GARCA GAYTN.
LUIS FERNANDO BENTEZ HARO.
8 E
RADIOLOGA CARDIACA NORMAL YPATOLGICA
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NDICE CARDIOTORCICO
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se tr! "# $%#e &ert'($ e# $ r)'*+r,% tr&-s )e$ "#t*/e)'* )e (*$"/# )es)e e$ ester#0# 1st e$ )',r+/
E$ )'2/etr* tr#s&ers* /23'/* )e$ (*r!0# se *4t'e#e s"/#)* $)'st#(' /e#*r )es)e e$ 4*r)e (r)%(* )ere(1* 1st $ $%#e/e)' 5 $ )'st#(' /5*r )es)e e$ 4*r)e (r)%(* '!6"'er)*1st $ $%#e /e)'.
P*ster'*r/e#te e$ &$*r )e est s"/ se )'&')e *r e$ )'2/etr*tr#s&ers* )e$ t0r3.
N*r/$ 7. * 79
:4;(
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RADIOLOGIA NORMAL
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Se *4t'e#e# tres r*5e(('*#es< *ster*#ter'*r =PA>? *4$'(" #ter'*r '!6"'er) =OAI> 5*4$'(" #ter'*r )ere(1 =OAD>.
E# $ *s'('0# PA se *5 t*) $ (r #ter'*r )e$ t0r3? ere#)'("$r $ )'re(('0# )e $*sr5*s@ e# $ *s'('0# OAI se *5 $ (r #ter*$ter$ '!6"'er) (*# "# *4$'("')) )e s"ee *ster*#ter'*r rese(t* $ )'re(('0# )e $*s r5*s )e r*3'/)/e#te rese(t*
$ '#(')e#(' )e $*s r5*s. E# $ OAD es $ /'s/ r*5e(('0# er* s*4re $ (r#ter*$ter$ )ere(1.
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Proyeccin PA
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POSTEROANTERIOR
D*s 4*r)es
B*r)e #ter'*r
P('e#te )e4e t*/r 4r'*
B*r)e #ter'*r< )e 4* rr'4
D
H(' rr'4 tr(t* )e s$') )e D< rter' "$/*#r
E# $ *r('0# /2s s"er'*r se )'st'#+"e $ aorta ascendente, s" arco5 1(' tr2s 5 4* $aorta descendente.
Borde posterior: de abajo a arriba
VCI
Pequeo se!ento de la "#
"I
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PROYECCIN LATERAL
4*r)es
A#ter'*r< r(*s
Arter' "$/*#r
D
P*ster'*r< )*s r(*s AI
I
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CRECIMIENTOS
S4er s' 15 (r)'*/e+$' +$*4$ * (re('/'e#t* )e$+"#s (&'))es * &s*s.
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CARDIOMEGALIA
Us* )e$ %#)'(e (r)'*t*r2('(*< /5*r )e 7. se (*#s')ers"+est'&* )e (r)'*/e+$'.
D"r#te $ es'r('0# $ s'$"et re#t ser )e /5*r
t/* 6"e )"r#te $ '#s'r('0# r*,"#). U# r)'*+r,% t*/) e# r*5e(('0# AP e3+er e$
t/* )e $ s'$"et *r estr e$ (*r!0# /2s $e)* )e$ $( r)'*+r2,'(.
E# rese#(' )e s('t's? *4es')) * e/4r!*? $e$e&('0# )e$ )',r+/ 1*r'!*#t$'! $ (*r!0# 5 $*1(e re(er )e /5*r t/*.
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P('e#te (*# /'*(r)'*t% )'$t)? se re(' )'$t('0# )e (&'))es?
(r)'*/e+$'.
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Ls )e,*r/'))es )e $ ( t*r2('(? $ )es$!r e$e)%("$* (r)'*&s("$r? )e,*r/# $ s'$"et s'/"$#)*
"# "/e#t* )e s" t/* =es(*$'*s's se&er? e(t"/e3(&t"/>.
CARDIOMEGALIA GLOBAL Ls ("ss /2s ,re("e#tes s*# $ (r)'*t%
re"/2t'( $"r'&$&"$r !) 5 $s /'*(r)'*t%s(*#+est'&s.
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D*s r)'*+r,%s *ster*#ter'*res )e t0r3 e# $s 6"e se re(' $ ($r )',ere#(' )e t/* e#tre $s'$"et (r)%( #*r/$ )e "# s"et* se)e#tr'* 5 e$ (*r!0# +$*4"$*s* )e "# )e*rt'st )e "#
ese('$')) )e $t* (*/*#e#te )'#2/'(* =('($'s/*>? (*# "# (r)'*/e+$' +$*4$.
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CRECIMIENTO AURICULAR DERECHO
Se est")' /e*r e# $s r*5e(('*#es PA 5 OAI.
E# $ r'/er "e)e *4ser&rse "# "/e#t* )e $r*/'#e#(' )e$ 4*r)e '#,er'*r )ere(1* 1(' e$
1e/'t*r3 )ere(1* "#6"e est* "e)e *("rr'r *r)'$t('0# &e#tr'("$r )ere(1 e3($"s'&/e#te.
E# $ OIA "e)e /#',estrse *r "# r*/'#e#(' )e$ *re"e$ )ere(1 '#/e)'t/e#te *r )e4* )e $*rt s(e#)e#te.
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CRECIMIENTO ENTRICULAR DERECHO
E# $ r*5e(('0# PA? $ #* (*#st't"'r e$ &e#tr%("$* )ere(1*"# 4*r)e )e $ s'$"et? $ )e,*r/('0# 6"e e$ (re('/'e#t*)e est (&')) r*)"(e $ s'$"et (r)'( "e)e #*
ser )',ere#(') (*# se+"r')) )e $ *(s'*#) *r(re('/'e#t* )e "r%("$ )ere(1 * &e#tr%("$* '!6"'er)*.
E# e$ (s* )e "/e#t* )e $ s'$"et 1(' e$ 1e/'t*r3'!6"'er)* *r (re('/'e#t* )e$ &e#tr%("$* )ere(1*? es
*4ser&('0# (*/J# 6"e e$ 2e3 se )es$!)*$'+er/e#te 1(' rr'4 )#)* "# /*r,*$*+%(r(ter%st'( "#6"e #* ,re("e#te.
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R)'*+r,% )e t0r3< "e)e /*strr "# (*r!0# e# K,*r/ )e 4*tK 5 "$/*#es*s("r*s.
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Tetr$*+% )e F$$*t
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CRECIMIENTO AURICULAR IZUIERDO
Es $ estr"(t"r 6"e /e*r se "e)e est")'r e# e$ e3/e#r)'*$0+'(* s'/$e )e t0r3.
I!aen de cuatro arcos.
E# $s +r#)es )'$t('*#es )e $ "r%("$ '!6"'er)? *r $/5*r r)'*)e#s')) 6"e r*)"(e? se "e)e *4ser&r "# )*4$e(*#t*r#* )e$ er,'$ )ere(1*? (s' r$e$* $ s'$"et )e $"r%("$ )ere(1.
E# $ OAI se )ete(t *r e$ )es$!/'e#t* 1(' rr'4 5;*)'s/'#"('0# )e $ $"! )e$ 4r*#6"'* r'#('$ '!6"'er)* 6"er*&*( $ "r%("$ '!6"'er) )'$t).
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E# $ OAD se *4ser& re(1!/'e#t* 1(' tr2s 5 )'s/'#"('0#)e $ $"! )e$ es0,+* e# s" ter('* '#,er'*r.
E# $ r*5e(('0# $ter$ se "e)e *4ser&r "# 2#+"$* 4'e#)e,'#')* 6"e se$ e$ s't'* )e$ s"r(* "r'("$*&e#tr'("$r*ster'*r *r e#('/ )e$ ("$ $ s*/4r )e $ "r%("$ '!6"'er))'$t) "e)e ser &'st (*# ($r')).
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R)'*+r,% )e t0r3< De,*r/('0# )e$ 4*r)e
'!6"'er)* )e $ s'$"et (r)%(.
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CRECIMIENTO ENTRICULAR IZUIERDO
N* ("e#t (*# (r'ter'*s &2$')*s r )e,'#'r (*# (erte! s' e3'stehipertro$ia o dilatacin ventricular@
Se est")' /e*r e# $s r*5e(('*#es *ster*#ter'*r? OAI 5$ter$.
E# $ r*5e(('0# *ster*#ter'*r se *4ser& "# r*/'#e#('e3+er) )e$ r(* '#,er'*r )e$ er,'$ '!6"'er)*@ se )'(e 6"e s'este r(* es re)*#)e)* (*/* se/'(%r("$* es s"+est'&* )e1'ertr*,'? 5 s' se e#("e#tr e$*#+)* es s"+est'&* )e
)'$t('0#.
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C*#+est'0# &s("$r *r '#s",'('e#(' (r)'(.
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E# $ r*5e(('0# OAI e$ r(* '#,er'*r )e$ er,'$ '!6"'er)* re4s$ (*$"/#@ se (*#s')er J# (*/* #*r/$ 6"e $ )e#s')) )e$&e#tr%("$* '!6"'er)* e# est r*5e(('0# t*6"e $ (*$"/# er*s'# 'r /2s $$2 )e $ /'t) #ter'*r )e -st@ e$ 2#+"$* 6"e e$
&e#tr%("$* '!6"'er)* ,*r/ (*# e$ 1e/')',r+/ '!6"'er)* se(*#s')er 6"e "e)e ser Jt'$ (*/* (/4'* s"+est'&* r)',ere#('r 1'ertr*,' =s' e$ 2#+"$* es +")*>? )e )'$t('0# =s' e$2#+"$* es *4t"s*>.
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E# $ r*5e(('0# $ter$ se t*/ (*/* re,ere#(' $ re$('0#e#tre $ r)'*)e#s')) )e$ &e#tr%("$* '!6"'er)* 5 $(*rres*#)'e#te $ &e# (& '#,er'*r@ #*r/$/e#te $)e#s')) )e$ &e#tr%("$* '!6"'er)* se s'tJ *r )e$#te )e $ CI?
5 e# (s* )e (re('/'e#t* )e$ &e#tr%("$* '!6"'er)*? s" er,'$ se)es$! r $*($'!rse )etr2s )e $ CI.
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AORTA
L )'$t('0# 0rt'( "e)e *4ser&rse e# $ r*5e(('0# PA(*/* "# )e#s')) /5*r 6"e $ )e $*s er,'$es '#,er'*res )e $s'$"et (r)'(.
E#s#(1/'e#t* /e
. L r*5e(('0# e# $ 6"e /e*r se est")' $ *rt es $$ter$)'st'#$ )es)e )'s(ret* 1st /s'&*.
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Cr)'*t% H'erte#s'&
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HIPERTENSIN PULMONAR
Radiografa de trax de una aciente
con !ierten"in ul#onar
"ecundaria $ue #ue"tra la dilatacinde la" arteria" ul#onare" centrale"%
&"ta aciente era ortadora de un
defecto "etal auricular% 'aga clic en
la i#agen ara a#liarla%
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R)'*+r,% )e t0r3 )e "# ('e#te (*# HAP r'/r' 6"e /"estr (r)'*/e+$' *r+r#)/'e#t* "r'("$*&e#tr'("$r )ere(1* 5 (/*s "$/*#res ($r*s. R)'*+r,% )e t0r3 #*r/$.
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OTRAS
Sr(*')*s's.
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Radiografa de trax $ue #ue"tra la "ituacin anor#al del cora*n+
!gado y colon de"cendente%
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