case_images: PMC10588001_01
case_images: Timeline presenting most relevant episodes of the case report (VSD, ventricular septal defect; RV, right ventricle; RV-PA, right ventricle-pulmonary artery).
case_images: fped-11-1200215-g001.jpg
case_images: PMC10588001_01_fped-11-1200215-g001.jpg
case_images: F1
case_images: We report the case of a 9-year-old male patient with a history of recurrent pulmonary infections and multiple operations to correct congenital heart defects (Figure 1).
case_images: CT scan showing dilation of the RV-PA conduit (and also right and left lower lobes atelectasis).
case_images: fped-11-1200215-g002.jpg
case_images: PMC10588001_01_fped-11-1200215-g002.jpg
case_images: F2
case_images: CT scan didn't show pulmonary involvement, but revealed dilation of the RV-PA conduit (Figure 2), and the patient was taken to surgery.
case_images: CT scan showing images compatible with pulmonary necrosis in the upper segment of the right lower pulmonary lobe.
case_images: fped-11-1200215-g003.jpg
case_images: PMC10588001_01_fped-11-1200215-g003.jpg
case_images: F3
case_images: One month later, he presented with clinical deterioration, and a new CT scan showed images compatible with pulmonary necrosis in the upper segment of the right lower pulmonary lobe (Figure 3).
case_images: CT scan showing vegetation in the RV-PA conduit.
case_images: fped-11-1200215-g004.jpg
case_images: PMC10588001_01_fped-11-1200215-g004.jpg
case_images: F4
case_images: He was admitted for investigation, and a CT scan once again evidenced vegetation in the RV-PA conduit (Figure 4).