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A 22 year-old woman presented with dyspnea, central cyanosis and a pulsatile mass on her left neck. Echocardiography showed subaortic ventricular septal defect, aortic overriding and pulmonary atresia. Pulmonary valve and main pulmonary artery (PA) could not be visualized by echocardiography. Multi-detector computed tomography and selective right pulmonary angiography showed the right PA arising from the distal portion of the ar-

A rare congenital anomaly: Pulmonary atresia and abnormal origin of right pulmonary artery