Abstract
A description is given of a 5-year-old girl with a pseudotruncus whose pulmonary blood flow is derived from a single large anomalous systemic artery that feeds into the pulmonary artery via an aneurysmatic connection representing an arterioarterial fistula. The clinical findings related to this vascular fistula were a high-pitched continuous murmur located over the right hemithorax and a circumscribed radiologic density in the right hilar area. The probable origin of this fistula from embryonic vascular connections between the bronchial arteries and pulmonary arteries is discussed.
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