case_images: PMC10716450_01
case_images: PMC10716450_02
case_images: Echocardiographic images obtained shortly after birth demonstrating (A) a severe hypoplasia of the ascending aorta and its arch, and (B) a substantial muscular ventricular septal defect (VSD).
case_images: fped-11-1298652-g001.jpg
case_images: PMC10716450_02_fped-11-1298652-g001.jpg
case_images: F1
case_images: The echocardiographic results can be seen in Figure 1.
case_images: (A) An axial CTA slice depicting the right pulmonary artery (RPA) crossing the left pulmonary artery (LPA), which had already branched from the main pulmonary artery (MPA). The ascending (AAo) and descending (DAo) aortic segments are also seen. (B) An axial CTA slice demonstrating a substantial and tortuous patent ductus arteriosus (PDA) as well as an aberrant right subclavian artery (ARSCA), originating from the PDA. The other branch vessels such as the right common carotoid arteries (RCCA) and left common carotoid arteries (LCCA) are also seen. (C) A coronal CTA slice demonstrating hypoplasia of the ascending aorta and its arch. Several other structures are also seen: the PDA, RCCA, left pulmonary artery (LPA), and right pulmonary artery (RPA), and the superior vena cava (SVC).
case_images: fped-11-1298652-g002.jpg
case_images: PMC10716450_02_fped-11-1298652-g002.jpg
case_images: F2
case_images: The images of these anatomical abnormalities can be seen in Figure 2.
case_images: This figure depicts the 3D model used in surgical planning and understanding of the patient's anatomy. (A) Visualization of the aortic hypoplasia in 3D space. (B) A view from the left of the large patent ductus arteriosus (PDA) feeding the descending aorta. (C) A view from the left of the RPA crossing underneath the LPA as well as a scannable augmented reality code to access this 3D model from one's mobile device.
case_images: fped-11-1298652-g003.jpg
case_images: PMC10716450_02_fped-11-1298652-g003.jpg
case_images: F3
case_images: Visuals of the areas of importance in the model are provided in Figure 3.
case_images: PMC10716450_03
case_images: PMC10716450_04
case_images: A postrepair coronal CTA demonstrating an intact left ventricular outflow tract (LVOT) as well as an appropriately sized ascending aorta and arch.
case_images: fped-11-1298652-g004.jpg
case_images: PMC10716450_04_fped-11-1298652-g004.jpg
case_images: F4
case_images: Given her protracted clinical course, a repeat CTA was performed, and evidence of coarctation repair can be seen in Figure 4.