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Congenital aortopulmonary window; an unusual cause of breathlessness
  1. Oliver J Rider,
  2. Malenka Bissell,
  3. Saul G Myerson
  1. Department of Cardiovascular Medicine, University of Oxford Centre for Clinical Magnetic Resonance Research, University of Oxford, Oxford, UK
  1. Correspondence to Dr Oliver Rider, Department of Cardiovascular Medicine, John Radcliffe Hospital, Oxford OX3 9DU, UK; oliver.rider{at}gmail.com

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Having recently moved to the UK, a 27-year-old woman with known uncorrected congenital heart disease was referred for cardiovascular MRI (CMRI) due to increased shortness of breath. CMRI revealed a large (40 mm) aortopulmonary window (figure 1) with complete mixing of the pulmonary and systemic circulations (SaO2 73%), moderate mixed aortic valve disease and mild-moderate pulmonary valve regurgitation. Left and right ventricular …

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