Case Report

A Rare Case of Pulmonary Atresia with Ventricular Septal Defect with a Right Sided Aortic Arch and a Calcified Pulmonary AVM Presenting in an Adult without Cyanosis

Figure 4

(a) and (b) Coronal CT pulmonary angiography: MIP (maximum intensity projection) images reveal a right sided aortic arch with large arterial channels arising from the left lateral aspect of the descending thoracic aorta (thick arrows) representing MAPCAs supplying the pulmonary parenchyma. Also seen is a calcified lesion (thin arrow) in the lower lobe of the right lung with a vascular pedicle (arrow head).
(a)
(b)