Inverted Y shape is the characteristic appearance of calcified patent ductus arteriosus in a Chest X-ray, PA view.
Detection of calcification is important in the management.
In cases without calcification, triple ligation is done, which is a closed heart procedure and does not require cardiopulmonary bypass.
But this procedure cannot be performed if calcification is present.
A calcified ductus requires ligation and division with cardiopulmonary bypass.
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