PMC6360499_01
Chest X-ray (postero-anterior view) of case 1 showing cardiomegaly, large homogenous opacity in left hemithorax
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F1
Chest x-ray (figure 1) showed cardiomegaly with large homogenous opacity in left upper parasternal area.
Echocardiographic images of case 1. Parasternal short axis view at the level of great vessels with color flow mapping showing aneurysm communicating with RVOT just proximal to RV-conduit junction (thick and yellow arrow). Aneurysm is causing compression of conduit. Turbulent flow is seen in conduit (long thin yellow arrow). Ao-aorta, An-aneurysm
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F2
Continuous wave Doppler interrogation of conduit in above case showed peak gradient of 65 mmHg
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F3
CT pulmonary angiography images of case 1 showing massive RVOT aneurysm compressing the conduit and causing severe narrowing
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F4
Three-dimensional reconstructed CT showed huge aneurysm of RVOT arising just proximal to RV-PA conduit junction and compressing distal conduit - PA junction leading to kinking of that area (figures 4, 5).
Three Dimensional reconstructedimage of CT pulmonary angiography of case 1 showing giant RVOT aneurysm
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F5
Three-dimensional reconstructed CT showed huge aneurysm of RVOT arising just proximal to RV-PA conduit junction and compressing distal conduit - PA junction leading to kinking of that area (figures 4, 5).
PMC6360499_02
Chest X-ray postero-anterior view of case 2 showing homogenous opacity to right of sternum
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F6
Chest x-ray frontal view (figure 6) showed mild cardiomegaly with homogenous opacity in right upper parasternal area.
CT pulmonary angiography images of case 2 showing massive aneurysm arising from RVOT
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F7
CT pulmonary angiography was done to evaluated for RVOT aneurysm and showed massive RVOT aneurysm, origin proximal to RV-conduit junction and compressing the conduit from right side (figures 7, 8).
Three dimensional reconstruction of CT pulmonary angiography of case 2 showing massive RVOT aneurysm
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F8
CT pulmonary angiography was done to evaluated for RVOT aneurysm and showed massive RVOT aneurysm, origin proximal to RV-conduit junction and compressing the conduit from right side (figures 7, 8).