Volume 114, Nº 4, Supplement, April 2020
DOI: https://doi.org/10.36660/abc.2019-0486
CLINICORADIOLOGICAL CORRELATION
Case 3/2020 – Pulmonary Atresia, Interventricular Communication and Anomalous Origin of the Right Pulmonary Artery from the Ascending Aorta developing after Prior Left Central Shunt, in a Symptomatic 40-year-old Adult
Edmar Atik
Maria Angélica Binotto
Alessandra Costa Barreto
![](images/case-3-2020-pulmonary-atresia-interventricular-communication-and-anomalous-origin-of-the-right-pulmonary-artery-from-the-ascending-aorta-developing-after-prior-left-central-shunt.jpg)
Figure 1 – Chest X-ray showing enlarged cardiac area with left ventricular dominance and increased pulmonary vascular network in the right hila, with a reduction towards the lower lobe. It is reduced to the left with thinner blood vessels. Electrocardiogram shows right cavity overload and diffuse ventricular repolarization changes.
Keywords: Heart Defects, Congenital; Pulmonary Atresia, Heart Septal Defects, Ventricular; Pulmonary Artery; Aorta/abnormalities; Hypertension, Pulmonary; Hypoxia; Diagnostic, Imaging, origin of right pulmonary artery from ascending aorta.