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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 …
Contributors OJR scanned and analysed the data; MB drafted the manuscript; SGM reviewed the images and aided in manuscript revision.
Competing interests None.
Patient consent Obtained.
Ethics approval Oxford REC.
Provenance and peer review Not commissioned; internally peer reviewed.