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Cœur en sabot
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Cœur en sabot

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Cœur en sabot
Specialty Cardiology
Differential diagnosis Tetralogy of Fallot

Cœur en sabot (French for "clog-shaped heart") is a radiological sign seen most commonly in patients with tetralogy of Fallot, a cyanotic congenital heart disease. It is a radiological term to describe the following findings in the x-ray:

  • The cardiac size is normal or mildly enlarged.
  • The left cardiac border shows uplifted apex "outermost lower most point of the heart at the left side" denoting right ventricular enlargement.
  • exaggerated cardiac waist, which means that the pulmonary segment is small and concave suggesting infundibular pulmonary stenosis.

Echocardiography has been used for confirmation and differentiation of congenital heart diseases.

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