Which of the following is the most likely diagnosis of the patient with the following chest X-ray?*
a. TGA
b. TAPVC
c. TOF
d. Ebstein anomaly
Ans. c. TOF
Ref: Diagnostic Radiology Chest and Cardiovascular Imaging, 3rd Edition, Page no. 368
•Tetralogy of Fallot consists of pulmonary stenosis, malaligned ventricular
septal defect, overriding of the aorta and hypertrophy of the right ventricle.
This is the most common form of cyanotic CHD in children. The chest radiograph shows boot shaped heart with pulmonary oligemia.
•TGA shows “egg-on-string ” appearance on chest radiograph.
•TAPVC shows figure of 8 or Snowman’s” appearance.
•Ebstein anomaly shows “box shape” heart on chest radiograph.