https://www.um.edu.mt/library/oar/handle/123456789/3634 2026-04-23T10:10:23Z https://www.um.edu.mt/library/oar/handle/123456789/4130 Title: The chest x-ray in congenital heart disease 1 : total anomalous pulmonary venous drainage and coarctation of the aorta Authors: Somerville, Jane; Grech, Victor E. Abstract: The chest x-ray (CXR) is a useful investigation in congenital heart disease, and has been probably ignored in recent years as echocardiography and other exotic and expensive imaging techniques can show anatomy and physiology. The CXR is a simple, quick and cheap test that yields useful diagnostic information, heart size, lung pathology as well as providing a readily available documentation of these facts for serial comparison. Such information is useful and even vital for the paediatric and the grown up congenital heart population. The echocardiogram gives little or no information on lung pathology or secondary pulmonary effects. The CXR readily demonstrates the classic heart shapes of congenital heart disease and supplies an easily seen record of heart size with low radiation levels. For young clinicians to find teaching about this cheap investigation is hard. This article is the first of a series of articles that highlight the use and the value of the CXR in congenital heart disease. 2009-01-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/4128 Title: Unusual case of ruptured sinus of Valsalva : rupture into left ventricle cavity along with distortion of mitral valve requiring double valve replacement Authors: Radhakrishnan, Sitaraman; Kaushal, Sonia; Iyer, Killugudi S.; Tomar, Munesh Abstract: This article reports a rare case of sinus of Valsalva aneurysm of left aortic sinus, which was bulging into left atrium (LA) distorting mitral valve and rupture into the left ventricle with severe aortic regurgitation in a 25 years old male patient. Due to the rupture, both aortic and mitral valves were irreparable and required a double valve replacement along with the closure of the neck of the aneurysmal cavity occupying the left atrial roof. 2009-01-01T00:00:00Z