PMC6291378_01
Parasternal view (third left intercostal space): perforation (7-9 mm in diameter) in the distal right ventricular outflow tract 1.5 to 2 cm below the pulmonary valve.
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PMC6291378_01_10-1055-s-0038-1676034-i180314crc-1.jpg
FI180314crc-1
 In the distal right ventricular outflow tract, 1.5 to 2 cm below the pulmonary valve a sealed perforation of around 7 to 9 mm in diameter was detected with a blood-filled sacculation of 5.5 x 6.5 cm on the anterior aspect of the RV within the pericardium ( Fig. 1 ).
Three-dimensional reconstruction of aorto-right ventricular shunt.
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PMC6291378_01_10-1055-s-0038-1676034-i180314crc-2.jpg
FI180314crc-2
 Thoracic CT with contrast radiograph showed a suspected formation of a pseudoaneurysm with a shunt extending from the proximal aortic arch to the RV closely below the PV with a diameter of 5.5 x 4.5 x 7.5 cm in the anterior mediastinum ( Fig. 2 ).