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Fig. 9 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 9

From: MDCT angiographic findings of various congenital pulmonary artery anomalies in pediatric patients

Fig. 9

3-year-old-girl with pulmonary and tricuspid atresia, post-Glenn surgery, on aspirin. She developed hemoptysis therefore CTA was requested. a–d Sequential axial CTA images show marked RV hypertrophy with fistula (block white arrow) between RV cavity and right coronary artery (RCA = black arrow). Another fistula (red and black arrows) between RV cavity and the left anterior descending artery (LAD = white arrow). The RV-RCA fistula shows focal stenosis (thin white arrow in b) whereas the RV-LAD fistula shows focal aneurysmal dilatation. e 2D coronal MIP reformat and f 3DVR shows patent SVC-RPA anastomosis (arrow) without stenosis

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