CTICasesComplex Congenital Heart Disease
Imaging findings
CT angiography in an adult with a history of childhood VSD and coarctation repairs shows a bicuspid aortic valve, a small aneurysm of the left sinus of Valsalva, and multiple vascular variants, including an anomalous origin of the left subclavian artery, anomalous pulmonary arterial branching to the right lower lobe, and anomalous pulmonary venous drainage.
Key takeaways
Adults with repaired congenital heart disease often demonstrate complex, multi-component cardiovascular anomalies. Finding one variant (e.g., bicuspid aortic valve or aortic coarctation) should prompt a thorough, systematic search for associated septal defects, sinus anomalies, and anomalous venous or arterial branching.
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