Morphology of PA-VSD is high variable, presenting in 36% of patients wth pulmonary trunk; 61% of patients with both right and left pulmonary arteries, 3% with only right or left pulmomary artery, and 36% with complete absent; 97% cases out of patients with both left and right pulmonary arteries were confluence; In cases of patients with both right and left pulmonary arteries, right and left pulmonary arteries with normal were 54%, stenose at one sign were 23%, and stenose on both were 23%.