Interesting  Images 3

Majid  Kyavar; Anita  Sadeghpour

doi:10.5812/acvi.13046

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Except where otherwise noted, this work is licensed under Creative Commons Attribution-NonCommercial 4.0 International License.

This article, by Iranian Society of Echocardiography , is licensed under a Creative Commons Attribution License .

Interesting Images 3

Majid Kyavar , MD, FACC ¹ ; and Anita Sadeghpour ^1, ^*

¹ Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences,Tehran, IR Iran

*Corresponding author: Anita Sadeghpour , MD, FASE, FACC, Rajaie Cardiovascular Medical and Research Center, Iran Uninversity of Medical Sciences,Tehran, IR Iran, Tel.: +98-2123922145, Fax: +98-2122048174, E-mail: Anita.sadeghpour@gmail.com.

Archives of Cardiovascular Imaging. 2013 June; 1(1): 44-5. , DOI: 10.5812/acvi.13046

Article Type: ; epub: Jun 20, 2013; ppub: Jun 2013

Running Title: Interesting Images 3

Keywords: Tetralogy Fallot ; Pulmonary Atresia

A 16 year old boy that was found to be cyanosed after birth and diagnosed with Tetralogy fallot and pulmonary atresia referred to our adult congenital heart disease clinic with a history of palliative surgery in childhood and recent dyspnea on exertion, New York Heart Association (NYHA) functional class III. He was cyanosed with marked clubbing of the fingers and toes. Oxygen saturation in room air was %64.

Based on the Cardiac CT image what is the diagnosis?

Figure 1

Echocardiography Images

Answer: Occluded left BT shunt

Image reconstruction by volume rendering and editing software create 3D images with removed overlying structure that adequately visualize structure of interest. The 3D reconstructed image seems attractive regarding the ease of interpretation but it is essential to know the limitation of reconstruction technique and it is important to continually refer back to the 2D axial data set before making a diagnosis(1).