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Prenatal diagnosis of crossed pulmonary artery with tetralogy of Fallot and right aortic arch: A rare case report and literature review
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  • Jinfeng Cheng,
  • Yixiu Zhang,
  • Hua Meng,
  • Xining Wu,
  • Yunshu Ouyang,
  • Li Ma,
  • Dachun Zhao
Jinfeng Cheng
Peking Union Medical College Hospital

Corresponding Author:[email protected]

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Yixiu Zhang
Peking Union Medical College Hospital
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Hua Meng
Peking Union Medical College Hospital
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Xining Wu
Peking Union Medical College Hospital
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Yunshu Ouyang
Peking Union Medical College Hospital
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Li Ma
Peking Union Medical College Hospital
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Dachun Zhao
Peking Union Medical College Hospital
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Abstract

Crossed pulmonary arteries (CPA) is an unusual malformation characterized by abnormal origination of the pulmonary arteries from the main pulmonary artery (MPA), which is usually associated with complex cardiac pathologies and chromosomal abnormalities. We report a case of crossed pulmonary artery (CPA) associated with tetralogy of Fallot (TOF), right aortic arch (RAA), and absence of ductus arteriosus. Sonographic findings, complicated malformations, genetic anomalies, differential diagnosis, and prognosis analysis are discussed. Although the isolated CPA is relatively asymptomatic, when it is accompanied by other cardiac anomalies, the prognosis needs to be reevaluated.