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LEFT VENTRICULAR ENLARGEMENT
Haneen Hassan Shaker
Alkindy college of Medicine
LEFT VENTRICULAR ENLARGEMENT
•Pressure overload:
Hypertension
Aortic Stenosis
•Volume overload:
Aortic regurgitation
Mitral regurgitation
•Wall abnormalities:
hypertrophic cardiomyopathy
Radiological findings
PA chest x_ray showing:
Left heart border displaced inferiorly or posteriorly and to the left.
Rounding of cardiac apex.
Depression of left hemi diaphragm.
Larger left heart border.
Radiological signs
• Shmoo sign : appearance of:
 prominent rounded left ventricle
Dilated aorta on plain AP chest X-ray giving the appearance
of shmoo.
Hoffman-Rigler sign
Left ventricular enlargement radiology

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Left ventricular enlargement radiology