Cour en sabot boot shaped heart in TOF 4month old infant | Figure 1

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Cour en sabot boot shaped heart in TOF 4month old infant

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Chest radiograph in a child with Tetralogy of Fallot displays the characteristic 'boot-shaped' configuration of the heart with an upturned cardiac apex. Tetralogy of Fallot is a combination of four anomalies: ventricular septal defect, right ventricular outflow tract obstruction, an overriding aorta, and right ventricular hypertrophy. This heart shape results from the right ventricular hypertrophy and a small pulmonary artery.](https://app.figure1.com/case-detail/06444d10-e375-4512-8649-fabcda96a7f6)



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4months old f african w respir distress ,fever and cough 5 days ago . taking w phone . showing right pulm oedema . what about this heart?](https://app.figure1.com/case-detail/2bc5bbef-4ceb-40aa-93df-fdf57ee071f2)

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patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)