Intrapulmonary invagination of right subclavian artery with a dual left anterior descending artery in a child with tetralogy of Fallot

We report a case of a 10-month-old cyanotic child with tetralogy of Fallot showing intrapulmonary invagination of right subclavian artery and presence of dual left anterior descending artery with the high take-off of the right coronary artery. This case highlights the role of computed tomography angiography in depicting vascular anatomy (arch vessels and coronary arteries) in patients with congenital heart diseases and in the planning of surgical management.