Radiological features of chronic heart failure secondary to congenital heart diseases associated with pulmonary hypertension Children with chronic heart failure (CHF) secondary to congenital heart diseases (CHD) associated with pulmonary arterial hypertension (PAH) of different grades, having the highest frequency in the structure of cardiac diseases at children, represent an important issue for the paediatric cardiologists and have certain diagnostical, pathophysiological, clinical-evolutive and therapeutical peculiarities. Our study has contained 254 children with CHF secondary to CHD with/without PAH of different grades, with the age between 0 and 17 years. The X - Ray exam emphasized the radiological features characteristically to CHF secondary to congenital systemicto- pulmonary shunts relevant to the grade of PAH: prominent PA segment and proximal pulmonary arterials, dilated hilar vessels with clear lung fields, with the tendency of diminishing the peripherical vascularization are common to the severe grade of PAH with the increasing of Moore index (0,43±0,01), which signifies a dilatation of the IIIrd grade of PA versus PAH, moderate grade and CHF without PAH (p<0,001).

Copiii cu insuficienţă cardiacă cronică (ICC) secundară cardiopatiilor congenitale asociate cu hipertensiune pulmonară arterială (HTPA) de diferit grad, având cea mai înaltă frecvenţa în structura maladiilor cardiace la copii se află în atenţia cardiologilor pediatri şi au anumite particularităţi diagnostice, fiziopatologice, clinico-evolutive şi terapeutice. Studiul nostru a cuprins 254 de copii cu ICC secundară malformaţiilor cardiace congenitale cu/fără HTPA de diferit grad cu vârsta cuprinsă între 0 şi 17 ani. Examenul radiografic a permis evidenţierea particularităţilor caracteristice ICC secundară şunturilor congenitale sistemicopulmonare relevante gradului de HTPA: proeminenţa trunchiului şi arterelor pulmonare proximale, vaselor hilare, cu tendinţă de diminuare a vascularizării periferice sunt comune gradului sever de HTPA cu majorarea indicelui Moore (0,43±0,01), ce semnifică o dilatare de grad III a arterei pulmonare versus HTPA, grad moderat şi ICC fără HTPA (p<0,001).