HEART - Repaired ventricular septal defect & atrial septal defect

This is an infant heart showing a graft closing a high ventricular septal defect and a sutured atrial septal defect. The origin of the aorta and pulmonary trunk are normal, but there is right ventricular hypertrophy. The ductus appears closed, but there is evidence that it was a late closure in that the pulmonary artery is ballooned out at the point of origin of the ductus. Viewed from above one can see the right subclavian and carotid arteries arising separately from the arch with, close-by, the left carotid artery arising. The left subclavian artery is arising some distance away.