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(Chest. 1973;64:298-302.)
© 1973 American College of Chest Physicians

A New Roentgenographic Sign of Hypoplastic Left Heart

Gordon M. Folger Jr. M.D.1 and Abraham Saied M.D.2

1 Director, Division of Pediatric Cardiology, Henry Ford Hospital, Detroit, Mich.
2 Division of Pediatric Cardiology, Henry Ford Hospital, Detroit, Mich.; Department of Pediatrics, Division of Pediatric Cardiology, Medical College of Georgia, Augusta, Ga.

Thirteen infants with autopsy-proved hypoplastic left heart syndrome were studied, and their plain chest roentgenograms were reviewed for the presence of features specific for this anomaly. The infants were divided into two groups determined by their hemodynamic findings, which further appeared to determine longevity. Seven of these infants had similar roentgenographic findings, considered due principally to the absence of the ascending aortic shadow. This finding was present in all infants surviving longer than one week. When not found, its absence was best related to obscuration by the large thymus seen in the immediate postnatal period. The sign is considered an important diagnostic aid in determining the presence of this difficult neonatal cardiovascular problem.

Submitted on February 23, 1973
Accepted on March 28, 1973






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Copyright © 1973 by the American College of Chest Physicians.