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2018-04-02  Case of the week # 468  © Thuy Da Nang

Answer to the case of the week # 468
April 12, 2018 - April 26, 2018

Thuy Nguyen Van, MD
Da Nang, Viet Nam

Case report

Following images represent a case seen in our unit at 38 weeks of pregnancy for the first time.
Despite the advanced gestational age, the typical findings allows the correct diagnosis.
As you can see in the images and videos above, there is an stenotic pulmonary artery, and overriding aorta and a interventricular septal defect, all component of tetrallogy of Fallot.
In this case, this anomaly is asociated with absent pulmonary valve syndrome: you can see the dilated right and left pulmonary arteries.
Finally, there are two more ¨minors¨ anomalies: there is no ductus arteriousus, and the aortic arch is on the right side of the trachea, which is consistent with right aortic arch.
Images 1-3; videos 1-5.
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