Calcified PAs in a patient with atrial septal defect (ASD) and Eisenmenger's physiology. (A) ECG shows first-degree AV block, right bundle branch block. (B, C) Chest X-ray showing enlarged and calcified pulmonary artery. (D, E) Axial CT scan below the carina demonstrates calcification of the left and right pulmonary arteries. (F) Apical four-chamber echocardiography view showing ASD. (G) Color-flow Doppler echocardiogram showing flow through the ASD with right-to-left shunt that caused her paradoxical embolic stroke.
Additional keywords: ASD,Eisenmenger,electrocardiogram,echocardiography,x-ray