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10-03-2020 | Image Puzzle – Question | Uitgave 6/2020 Open Access

Netherlands Heart Journal 6/2020

Surprising finding of right-to-left shunt revealed with computed tomography angiography

Netherlands Heart Journal > Uitgave 6/2020
M. Kardos, M. Sagat, M. Kaldararova, P. Tittel, M. Nosal
A 2-year-old boy presented to our inpatient department with a history of recurrent lower respiratory tract infection and central cyanosis. His systemic saturation was between 75–80%. Transthoracic echocardiography revealed no structural heart defect except for massive flow via dilated right pulmonary vein. Performed computed tomography angiography confirmed presence of this type of anomaly (Fig.  1). What is the diagnosis?


You will find the answer elsewhere in this issue.

Conflict of interest

M. Kardos, M. Sagat, M. Kaldararova, P. Tittel and M. Nosal declare that they have no competing interests.

Ethical standards

Permission to publish this case report was obtained from the parent(s) of the subject patient.
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://​creativecommons.​org/​licenses/​by/​4.​0/​.

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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

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