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Fig. 1 | The Egyptian Heart Journal

Fig. 1

From: Clinical deterioration following arterial switch surgery due to extensive aortopulmonary collaterals, unusual condition but worth considering: case report

Fig. 1

Roentgenogram and angiography before and after the closure of MAPCAs: A chest X-ray after ASO showed pulmonary edema with significant skin edema (yellow arrow). B selective angiography showing a large MAPCA supplying the right upper lung lobe (yellow arrow). C selective angiography showing a large MAPCA supplying the left upper lung lobe (yellow arrow) with vascular plug seen closing the MAPCAs of right upper lobe (white asterisk). D selective angiography showing MAPCA supplying the left lower lung zone with vascular plugs seen occluding MAPCAS for upper left and right lungs (white asterisks). E selective angiography showing large MAPCA supplying the right lower lung lobe (yellow arrow). F Successful closure of 3 MAPCAs using three vascular plugs (white asterisks). ASO: arterial switch operation, MAPCAs: Major aortopulmonary collateral arteries

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