EXTRACARDIAC ROENTGENOGRAPHIC ABNORMALITIES IN CYANOTIC CONGENITAL HEART DISEASE

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Abstract
In reviewing the roentgenograms of 70 patients with moderate and severe cyanotic congenital heart disease (CHD), it was evident that there were many extracardiac abnormalities that may be associated with the basic heart defects. For the most part, these changes were due to the secondary polycythemia provoked by the hypoxemia and were reflected primarily in the skeletal system. In the bones these changes so closely resemble those of hemolytic anemias as to be, in many cases, indistinguishable. Speculation is raised about an increased incidence of sternal ossification center fusion, retarded bone age, gallstones, renal parenchymal hypertrophy and splenomegaly in cyanotic congenital heart disease.

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