PMC5723013_01
Preoperative transthoracic echocardiogram showing a membranous ventricular septal defect with predominant right to left shunting (see orange arrow).
fsurg-04-00072-g001.jpg
PMC5723013_01_fsurg-04-00072-g001.jpg
F1
A transthoracic echocardiogram showed a decreased left ventricular chamber size with hyperdynamic systolic function, left ventricular ejection fraction >65%, enlarged right ventricle with interventricular septal flattening (consistent with right ventricular overload), VSD with predominant right to left shunting and tricuspid regurgitation, and an estimated right ventricular systolic pressure of 107 mmHg (based on right atrial pressure of 15) (Figure 1).
Postoperative head computed tomography (CT) showing (A) small amount of hemorrhage along the choroid plexus with a small hematoma in the frontal right lobe corresponding with the ventricular shunt tap and (B) basal cisterns with hemorrhage (Fisher 3).
fsurg-04-00072-g002.jpg
PMC5723013_01_fsurg-04-00072-g002.jpg
F2
Postoperative CT scan showed a small hematoma in the right frontal lobe (corresponding with the ventricular shunt tap), SAH, intraventricular and basal cisterns hemorrhage, and hydrocephalus (Fisher 3:Figures 2A,B).