Surface

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Surface radiological anatomy of heart valves

• Dr. Sama ul Haque

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Objectives

• Delineate the surface anatomy of the heart and
  valves.
• Explain the radiological anatomy of the heart.

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Surface anatomy of the Heart Valves
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Location of Heart
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Surface anatomy of the heart valves

• Tricuspid Valve
• Lies behind the right half of the sternum
• opposite the 4th intercostal space.
• Mitral Valve
• Lies behind the left half of the sternum
• opposite the 4th costal cartilage.

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Surface anatomy of the heart valves

• Pulmonary Valve
• Lies behind the medial end of the 3rd left
• costal cartilage and the adjoining part of
  the
• sternum.
• Aortic Valve
• Lies behind the left half of the sternum
• opposite the 3rd intercostal space.

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Radiological anatomy of the Heart
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Essentials Before Getting Started

• Pathway of x-ray beam
• PA
• AP
• Patient Position
• Upright
• Supine

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Erect Posture (A-P View)
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Erect Posture (P-A View)
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Supine Posture (A-P View)
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Densities

• The big two densities are
• (1) WHITE - Bone
• (2) BLACK - Air
• The others are
• (3) DARK GREY- Fat
• (4) GREY- Soft tissue/water
• And if anything Man-made is on the film, it is
• (5) BRIGHT WHITE - Man-made

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Densities
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X-Ray Chest
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Heart
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Heart
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Right Border
Left Border
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• Thank You