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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. So massive enlargement of pulmonary arteries.
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.
The VSD is partly overrided by the aorta. And if it is more than 50% towards the right side, then you think of another condition known as double outlet right ventricle, where both great vessels, aorta and pulmonary artery arises from the right ventricle. You require multiple views to see from where the pulmonary arteries are arising.
Right atrial hypertrophy as in tricuspid stenosis, pulmonary stenosis and pulmonary hypertension. But in a VSD with pulmonary hypertension A wave is not prominent. It will not occur in the presence of a large VSD which equalizes both right ventricular and left ventricular pressures.
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