Congenital cardiac lesions in the adult have characteristic roentgen patter
ns that should be recognized by the radiologist. In other instances, abnorm
alities in the aorta or the position of the organs can indicate the likelih
ood of associated cardiac anomalies. An increasing number of congenital car
diac patients are surviving into adult life because of successful treatment
. Some of the complications of these repairs can be recognized on routine c
hest films.