PMC8298126_01
Transesophageal echocardiography showing ventricular septal defect jet
between the 12:00 and 2:00 positions (red arrow).
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F1
A VSD with predominant left-to-right shunting was observed on color Doppler TEE (Figures 1,2).
Severe biventricular dilation seen on cardiac magnetic resonance imaging.
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F3
CMR showed severe biventricular dilation and evidence of a supracristal VSD with an 8.5-mm defect adjacent to the right sinus of Valsalva (Figures 3,4).
Aorta-right ventricular outflow tract fistula demonstrated by the presence of
systolic flow jet (red arrow).
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F5
The VSD was further complicated by development of an aorto-right ventricular outflow tract (RVOT) fistula with evidence of continuous left-to-right shunt across the VSD from the left side into the RVOT in the subpulmonic region (Figures 5,6).