The Plain Chest Film as an Unreliable Method to Determine Left Ventricular Size

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  • CATE F.J. Ten
    Department of Clinical Echocardiography, The Thoraxcenter, Erasmus University
  • VLETTER W.B.
    Department of Clinical Echocardiography, The Thoraxcenter, Erasmus University
  • BRAND van de
    Department of Clinical Echocardiography, The Thoraxcenter, Erasmus University
  • ROELANDT J.
    Department of Clinical Echocardiography, The Thoraxcenter, Erasmus University

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  • Plain Chest Film as an Unreliable Metho

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This case report describes the disparity between the findings of the plain chest film and the echocardiogram in a patient with severe coronary artery disease. Whereas the plain chest film shows a normal cardiothoracic ratio of 50% indicating normal LV size, the echocardiogram shows features characteristic of a dilated cardiomyopathic left ventricle with low amplitude of wall motion and consequently low ejection fractoin. These echocardiographic findings were confirmed at cardiac catheterization and angiography. We propose the use of echo instead of the plain chest film in the evaluation of LV size in the cardiac patient.

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