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Eisenmenger reaction in patient with longstanding atrial septal defect

Eisenmenger reaction in patient with longstanding atrial septal defect
Chest radiograph shows centralization of pulmonary vascular flow with aneurysmal configuration of the main and hilar pulmonary arteries as well as arteriosclerotic calcifications in these vessels.
Courtesy of Paul Stark, MD.
Graphic 56714 Version 3.0