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Patients with pulmonary atresia and ventricular septal defect (PA/VSD) are prone to progressive aortic dilation. However, there are relatively few reports of progressive development of aortic aneurysm or aorti.
The striking finding is the huge enlargement of the right pulmonary artery, almost aneurysmal dilatation of right pulmonary artery. Main pulmonary artery is also grossly dilated. And you can see left pulmonary artery shadow and rest of it is not seen here. This is the aortic knuckle. This could be an end on view.
Transcript of the video: Eisenmenger syndrome is an important complication of large left to right shunts which develop later due to development of pulmonary vascular obstructive disease and severe pulmonary hypertension. Diagrammatic representation of VSD Eisenmenger. It is also called Eisenmenger complex. But, leave that alone.
He was diagnosed with a butterfly vertebrae, kidney fullness, sacral dimple, and several heart defects (right aortic arch, VSD, and ASD). However, at the time, we did not know he also had a very rare isolated left pulmonary artery (causing PPHN) as this was hard to detect on the ultrasound and would later be detected at his cath.
This is the aortic valve in closed position and mitral valve also appears to be closed in position. You can also see the aortic override. The VSD is partly overrided by the aorta. So, when there is an aortic override, if the override of the aorta is less than 50%, you think of tetralogy of Fallot.
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