Clogs heart

The radiologically typical heart shape of a clog heart was first described by Vaquez and Bordet in 1928 and described as a so-called "cœur en sabot" (Schumacher 2008).

The term "clog heart" originally refers to a non-enlarged heart in which the apex of the heart is raised radiologically because the right ventricle is hypertrophied (Herold 2023). In addition, due to a narrow pulmonary artery, a slender cardiac waist is found (Leslie Fairchild 2021).

Mira (2022) points out that a repaired tetralogy of Fallot (rTOF) can also be referred to as a "clog heart" to describe the high-risk form. This shows a more prominent boot tip, which corresponds to the dilated left ventricle.

A clog heart is found radiologically as part of a tetralogy of Fallot (Pinger 2019).

1. Fairchild L. (2021) Right ventricular function and pulmonary valve function after valve-preserving correction or RV-PA conduit implantation in tetralogy of Fallot at the LMU Klinikum (2002-2013). Dissertation for the degree of Doctor of Human Medicine at the Medical Faculty of the Ludwig-Maximilians-University of Munich
2. Herold G et al. (2023) Internal medicine. Herold Publishing House 196
3. Kasper D L, Fauci A S, Hauser S L, Longo D L, Jameson J L, Loscalzo J et al. (2015) Harrison's Principles of Internal Medicine. Mc Graw Hill Education 1527
4. Mira A, Lamata P, Pushparajah K, Abraham G, Mauger C A, McCulloch A D, Omens J H, Bissell M M, Blair Z, Huffaker T, Tandon A, Engelhardt S, Koehler S, Greil G, Young A A, Hussain T (2022) Le Cœur en Sabot: shape associations with adverse events in repaired tetralogy of Fallot. J Cardiovasc Magn Reson. 24 (1) 46 doi: 10.1186/s12968-022-00877-x.
5. Pinger S (2019) Repetitorium Kardiologie: Für Klinik, Praxis, Facharztprüfung. Deutscher Ärzteverlag 399 - 401
6. Schumacher G, Hess J, Bühlmeyer K (2008) Clinical pediatric cardiology: diagnosis and therapy of congenital heart defects. Springer Medizin Verlag Heidelberg 288