Computed tomographic (CT) scan confirmed the presence of PLSVC and the absence of right SVC (Figure 2).It further revealed that at the level of
aortopulmonary window there is communication of PLSVC with the left hemi-azygous system.
TOF may have associated cardiac defects in the form of pulmonary atresia, with absent pulmonary valve and with multiple
aortopulmonary collateral (MAPCAs).
The CT of the thorax demonstrated multiple conglomerate mediastinal lymphadenopathies in paratracheal,
aortopulmonary, subcarinal, and right paraesophageal regions [Figure 1].
At CS16, the a-SMA-positive
aortopulmonary septum formed and fused with the two OFT cushions, thus septating the nonmyocardial portion of the OFT into two arteries.
One of the very rare cases faced by the doctors was of Miem (6), who had a complex
aortopulmonary window (APW).
One of the rare cases faced by the doctors yesterday was that of Miem (6), who had a complex
aortopulmonary window.
Takeuchi procedure, introduced in 1979, involved the creation of an
aortopulmonary window and intrapulmonary tunnel extending from the anomalous ostium to the window.
His past medical history was significant for Berry syndrome (a complex
aortopulmonary malformation).
While the second Neck 4D CT found a single solid lesion in the left thyroid and 2 solid lesions in
aortopulmonary window, suggestive of parathyroid nodes.
She was diagnosed with complex congenital cyanotic heart disease at birth and her cardiac malformations included transposition of great arteries, large nonrestrictive ventricular septal defect (VSD) and atrial septal defect (ASD), dextrocardia with atrial and abdominal situs solitus, hypoplastic right ventricle, tricuspid atresia, and multiple
aortopulmonary collaterals to the right lung.
In our study, major
aortopulmonary collaterals were present in 7.2% patients.
The underlying mechanism for congenital type is incomplete fusion of the distal bulbar septum (primitive bulbis cordis) and truncal ridges (
aortopulmonary septum) resulting in fragility at the junction of aortic annulus and the right aortic sinus medias and right portion of the noncoronary sinus (Fig.