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Case Reports
. 2007;34(2):250-1.

Unrepaired tetralogy of fallot with right hemitruncus in an adult: a rare case

Rajiv J Patel  1 , Ramzan M Zakir, Virender Sethi, Jayant N Patel, John Apovian, John C Alexander, Marc Klapholz, Muhamed Saric
Affiliations
Case Reports

Unrepaired tetralogy of fallot with right hemitruncus in an adult: a rare case

Rajiv J Patel et al. Tex Heart Inst J. 2007.
No abstract available

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Figures

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Fig. 1 An electrocardiogram illustrates the Katz-Wachtel phenomenon (a large, equiphasic QRS voltage in midprecordial leads), indicating biventricular hypertrophy.
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Fig. 2 Transthoracic echocardiography shows tetralogy of Fallot: a perimembranous ventricular septal defect (arrow), an overriding aorta (Ao), and right ventricular (RV) hypertrophy. LV = left ventricle Real-time motion image is available at texasheart.org/journal.
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Fig. 3 Iodine contrast injection into the aortic root (Ao) reveals the anomalous origin of the right pulmonary artery (arrows) from the proximal ascending aorta. Real-time motion image is available at texasheart.org/journal.
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Fig. 4 Iodine contrast injection into the main pulmonary artery (MPA) shows only the left pulmonary artery (LPA) with its branches. The right pulmonary artery (asterisk) is not opacified. Real-time motion image is available at texasheart.org/journal.
See this image and copyright information in PMC

References

    1. Morgan JR. Left pulmonary artery from ascending aorta in tetralogy of Fallot. Circulation 1972;45:653–7. - PubMed
    1. Kutsche LM, Van Mierop LH. Anomalous origin of a pulmonary artery from the ascending aorta: associated anomalies and pathogenesis. Am J Cardiol 1988;61:850–6. - PubMed

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