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. 2016 Jul 1;10(7):TE01–TE10. doi: 10.7860/JCDR/2016/21443.8210

[Table/Fig-8b]:

PA-VSD.

Frequency [13] 2.5-3.4% of all CHD. M>F.
Association ASD/PFO Origin of aorta from RV
Syndromes Velo-cardio-facial syndrome DiGeorge syndrome
Imaging features Plain Normal or mild cardiomegaly (Boot shaped heart) Pulmonary oligemia Hyper translucent lung fields
Imaging features specific Echo mal-aligned VSD with overriding of aorta, pulmonary atresia MRI can depict all findings CT preferred for coronary artery anomalies and collaterals
Management Medical: Start PGE1 to maintain ductal patency
Surgical:
  • Central shunt surgery: direct connection of ascending aorta and hypoplastic MPA

  • RV-to-PA connection