ABC | Volume 112, Nº1, January 2019

Clinicoradiological Correlation Atik et al Double outlet right ventricle with noncommitted VSD and pulmonary stenosis Arq Bras Cardiol. 2019; 112(1):107-109 Figure 1 – Chest X-ray showing the cardiac area within normal limits, with an elongated and rounded ventricular arch, normal pulmonary vascular network, and electrocardiogram showing signs of right ventricular overload. Figure 2 – Echocardiogram shows in the 4-chamber view the large ventricular septal defect (arrow) in the inflow tract and in the subcostal view, the two large vessels emerging from the right ventricle, with the aorta to the right of the pulmonary artery. RA: right atrium; LA: left atrium; RV: right ventricle; LV: left ventricle; Ao: aorta; PT: pulmonary trunk. Comments: The natural evolution of this patient into adulthood emphasizes unfavorable elements, although she has been shown to be in good clinical and hemodynamic conditions. They are the acquired characteristics that interfere in the evolution over the elapsed time. In this case, they are represented by enlarged heart cavities, caused by pulmonary hyperflow at some time, and by the progression of pulmonary stenosis, with hypertrophy and even confirmed myocardial 108