PMC5458364_01
Posteroanterior chest X-ray showing a mild increase in cardiothoracic ratio.
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Chest X-ray has shown a mild increased cardiothoracic ratio with coeur-en-sabot appearance associated with an unusual enlargement of the middle left cardiac border (Figure 1).
Electrocardiogram showing right ventricular hypertrophy and a right auricular hypertrophy.
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Also, the electrocardiogram has exposed a right ventricular hypertrophy and a right auricular hypertrophy (Figure 2).
A pulmonary artery angiogram revealed a large aneurysm of the left pulmonary artery (47/65 mm) associated with a valvular stenosis.
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Pulmonary arterial angiography indicated a disharmonious pulmonary tree with a marked dilation of left pulmonary artery (dimensions = 47/65 mm) (Figure 3).
Aortic angiogram showing presence of a small PDA.
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We have noticed the presence of a small restrictive PDA (Figure 4).
(a and b) The transverse section of a chest MRI showed an aneurysmal change in the left pulmonary artery. Dimensions of the main and right pulmonary arteries were normal. The ascending aorta was also mildly dilated. (c) Cine cardiac magnetic resonance image showing lesions of Fallot's Tetralogy (VSD, overriding aorta, and dilated right ventricle).
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It showed a Fallot's Tetralogy with a dilated right ventricle associated with an aneurysm of the left pulmonary artery (Figures 5(a), 5(b), and 5(c)).