摘要A 14-year-old male visited the First Affiliated Hospital of Guangzhou Medical University with a complaint of a 2-year history of progressive exertional dyspnea and fingertips cyanosis.Physical examination revealed remarkable desaturation measured by pulse oximetry (80% at rest) and marked cyanosis of lips.The high-resolution computed tomography scanning revealed no significant abnormality in the lung field [Figure 1a and 1b].Computed tomography of pulmonary angiography showed no filling defect in trunk or branches of pulmonary arteries,no dilated central pulmonary arteries,and no cardiomegaly [Figure 1c and 1d].
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