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What is In which of the following, a 'coeur en sabot'/ boot shaped hea is seen: March 2011 and explain in detail?
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: Fallot's 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