Either left pulmonary sling or single origin of right and left pulmonary arteries (only three cases reported previously) are rare congenital heart anomalies and concomitantly occurred had not been reported. The image presentation is similar to type A1 truncus arteriosus but preserved pulmonary valve and main pulmonary artery development.
Keywords: Atretic main pulmonary artery; Left pulmonary sling; Single origin of right and left pulmonary arteries from ascending aorta; Truncus arteriosus.
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