Atrial septal defect complicated by Eisenmenger syndrome
Fatigue, dyspnoea, chest pain and cough for several years.
Age: 10 years
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Axial C+ CTPA
- marked cardiomegaly
- large atrial septal defect
- significantly dilated right atrium, right ventricle, pulmonary trunk and right and left pulmonary arteries.
- enlarged pulmonary vessels
- reflux of contrast material to the inferior vena cava and hepatic veins
- air space consolidation in right lung lower lobe