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- W2912341866 abstract "A four year old male child with history of recurrent cyanotic spells underwent echocardiography which revealed Tetralogy of Fallot (TOF). The child was referred for Computed Tomography Angiography (CTA) for the preoperative evaluation of the cardiac morphology, the anatomy of the coronary arteries as well as the vascular anatomy of the aorta and the arch vessels. The CTA was done on a third generation dual source 384 slice scanner (Somatom Force, Siemens Healthcare, Germany) using a ultra high pitch prospective gated FLASH protocol. It revealed a subaortic Ventricular Septal Defect (VSD) with aortic override (Fig. 1A), infundibular pulmonary stenosis (PS) and right ventricular hypertrophy (RVH) (Fig. 1B), confirming TOF. The aortic arch was right sided. In addition, it was noted that the left subclavian artery (LSCA) was not arising from the arch. Instead, it was connected to the main pulmonary artery (MPA) via the patent ductus arteriosus (PDA) (Fig. 2A–C). The PDA was restrictive with approximately 50% stenosis just prior to the distal MPA end (Fig. 2A–C). Diagnosis of an isolated LSCA in TOF with right aortic arch was made. Fig. 2Maximum Intensity Projection (MIP) (A) and Volume rendered images of the heart and the arch vessels as seen from behind (B) and front (C) reveal a small patent ductus arteriosus (PDA) connecting the main pulmonary artery (black asterisk) to the left subclavian artery (LSCA). The LSCA is not connected to the arch of aorta. The branches arising from the right aortic arch are 1: Left common carotid artery, 2: Right common carotid artery, and 3:Right subclavian artery. View Large Image Figure Viewer Download Hi-res image" @default.
- W2912341866 created "2019-02-21" @default.
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- W2912341866 date "2020-09-01" @default.
- W2912341866 modified "2023-09-24" @default.
- W2912341866 title "Isolation of left subclavian artery in Tetralogy of Fallot with right aortic arch: A rare association diagnosed on dual source CT" @default.
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- W2912341866 doi "https://doi.org/10.1016/j.jcct.2019.01.017" @default.
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