Eisenmenger’s syndrome chest x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Abdelrahman Ibrahim Abushouk, MD[2]


Chest X-ray of patients with Eisenmenger's syndrome may show cardiomegaly, right ventricular or biventricular enlargement, right atrial or biatrial enlargement, and pulmonary vascular plethora.

Chest X Ray

Chest X-ray of patients with Eisenmenger's syndrome may show the following[1][2]:

  • Cardiomegaly
  • Right ventricular or biventricular enlargement
  • Right atrial or biatrial enlargement
  • Pulmonary vascular plethora
  • In severe disease, a normal-sized heart with diminished pulmonary vasculature may be seen.
Chest x-ray show dilation of central pulmonary arteries and pruning of peripheral pulmonary arteries, right ventricular and atrial enlargement. Case courtesy of Dr J Yeung , Radiopaedia.org, rID: 13540 [3]


  1. Sheehan R, Perloff JK, Fishbein MC, Gjertson D, Aberle DR (2005). "Pulmonary neovascularity: a distinctive radiographic finding in Eisenmenger syndrome". Circulation. 112 (18): 2778–85. doi:10.1161/CIRCULATIONAHA.104.509869. PMID 16267251.
  2. Kaemmerer H, Mebus S, Schulze-Neick I, Eicken A, Trindade PT, Hager A; et al. (2010). "The adult patient with eisenmenger syndrome: a medical update after dana point part I: epidemiology, clinical aspects and diagnostic options". Curr Cardiol Rev. 6 (4): 343–55. doi:10.2174/157340310793566154. PMC 3083816. PMID 22043211.
  3. https://radiopaedia.org/cases/13540">rID: 13540/