<prompt> In which of the following, a coeur en sabot boot shaped hea is seen: March 2011Tricuspid atresiaVentricular septal defectTransposition of great aeriesTetralogy of Fallo  <response>: Ans. D: Tetralogy of Fallot The X-ray in TOF shows a normal sized hea with upturned apex, suggestive of right ventricular hyperophy The absence of main pulmonary aery segment gives the shape described as cor-en-sabot Remember: Boot shaped hea: Fallots tetralogy Egg on side hea Apple on a string: Transposition of great aeries Snowman hea: Total anomalous pulmonary venous connection TAPVC Double shadow: Mitral stenosis Water lily sign: Hydatid cyst Pulmonary oligemia, cardiomegaly: Ebsteins anomaly 