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Pulmonary atresia with ventricular septal defect
Classic appearance called coeur en sabot once said to suggest Fallot’s tetralogy. In fact it is often seen with pulmonary atresia with ventricular septal defect. In this picture there is a right aortic knuckle from the arch on that side and deflecting the trachea to the left. The upturned apex making the point of the sabot is the right ventricle. There is a bay where the pulmonary artery should be seen but is absent. The pulmonary artery distribution is abnormal with small vessels .
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Cardiology Albums: The chest x-ray in congenital heart disease
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