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Left Atrial to Left Ventricular Shunt

Imaging findings

Chest radiograph showed an unusual wavy marker on a sewing ring in a non-anatomic location. Contrast-enhanced CT confirmed a surgical bypass graft with a one-way valve connecting the left atrial appendage to the left ventricular apex.

Key takeaways

This extra-anatomic shunt was created to manage severe mitral stenosis in a patient who could not undergo standard valve replacement. It serves as a reminder to consider non-standard surgical plumbing in patients with a history of complex cardiac procedures.

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