Tetralogy of fallot chest xray


 * Associate Editors-In-Chief: Priyamvada Singh, M.B.B.S. [mailto:psingh@perfuse.org], Keri Shafer, M.D. [mailto:kshafer@bidmc.harvard.edu];  Assistant Editor-In-Chief: Kristin Feeney, B.S. [mailto:kfeeney@perfuse.org]

Overview
In Tetralogy of Fallot, the heart may present with a "boot-like" or "coeur en sabot" appearance (an upturned right ventricular apex and a concave main pulmonary arterial segment), rather than the symmetric appearance of a normal heart. A right sided aortic arch may also be present. There is pruning or reduction in the prominence of the pulmonary vasculature over time.