NONVALVULAR MAIN PULMONARY-ARTERY VEGETATION ASSOCIATED WITH AORTOPULMONARY WINDOW

We present a 32-year-old female with aortopulmonary window and vegetat ion of non-valvular main pulmonary artery. The aortopulmonary window i s a rare congenital disease in which the aorta and pulmonary arteries are communicated by a defect of variable diameter The pulmonic valve i s the least commonly involved valve in bacterial endocarditis, but the re is no vegetation of non-valvular main pulmonary artery in the liter ature. Colour duplex sonography showed an aortopulmonary window with a ortic regurgitation. Magnetic resonance (MR) imaging demonstrating the vegetation on the wall of main pulmonary artery, is an useful and com plementary method, and can be used for demonstration of congenital and acquired cardiovascular pathologies including aortopulmonary window a nd subpulmonic or suprapulmonic vegetations.