case_images: PMC5917864_01
case_images: Suprasternal short axis view with color Doppler interrogation showing mosaic flow in lower branch of right pulmonary artery (arrow) suggestive of stenosis. 1b: Continuous wave Doppler interrogation of lower branch of RPA showing velocity of 316 cm/sec (peak gradient of 40 mmHg with pandiastolic spilling) suggestive of severe stenosis of that branch.
case_images: ipc-19-1-g001.jpg
case_images: PMC5917864_01_ipc-19-1-g001.jpg
case_images: F1
case_images: Post balloon dilatation of lower branch of right pulmonary artery, color Doppler interrogation showing laminar flow (arrow) suggestive of normal pattern. 2b: Continuous wave Doppler interrogation of lower branch of RPA showing velocity of 122 cm/sec (peak gradient of 6 mmHg) suggestive of no stenosis
case_images: ipc-19-1-g002.jpg
case_images: PMC5917864_01_ipc-19-1-g002.jpg
case_images: F2
case_images: Post procedure echocardiography showed normalization of RV pressure (TR gradient 25 mmHg) with laminar flow in the right pulmonary artery branch (figure 2a,b).
case_images: PMC5917864_02
case_images: PMC5917864_03
case_images: PMC5917864_04
case_images: Three Dimensional reconstruction of CT angiography of pulmonary veins showing: A. Severe stenosis of right superior pulmonary vein (RSV) and B. Severe stenosis of left inferior pulmonary vein (LIV).
case_images: ipc-19-1-g003.jpg
case_images: PMC5917864_04_ipc-19-1-g003.jpg
case_images: F3
case_images: There was severe, long segment stenosis of the left lower pulmonary vein with hypoplasia, along with severe stenosis of the right upper pulmonary vein (figure 3a, b).
case_images: PMC5917864_05