PMC4322410_01
2d echocardiography with apical 4c view, showing double orifice tricuspid valve. RA: Right atrium, RV: Right ventricle, LA: Left atrium, LV: Left ventricle
APC-8-78-g001.jpg
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F1
Transthoracic 2 D echocardiography with color Doppler showed situs solitus, levocardia, concordant atrio-ventricular-and ventriculo-arterial connections, partial AVSD with large ostium primum defect with left-to-right atrial shunt, cleft anterior mitral leaflet with trivial mitral regurgitation, tiny left ventricular to right atrium (LV-RA) shunt via a small left ventricle to right atrial septal defect, severe pulmonary valvular stenosis (Max PG = 96 mmHg), no tricuspid regurgitation, there was a double orifice of the right ventricular component of the common AV valve [Figures 1 and 2].
2d echocardiography with colour flow apical 4c view, showing flow through both the orifices of double orifice tricuspid valve (marked by arrow). RA: Right atrium, RV: Right ventricle, LA: Left atrium, LV: Left ventricle
APC-8-78-g002.jpg
PMC4322410_01_APC-8-78-g002.jpg
F2
Transthoracic 2 D echocardiography with color Doppler showed situs solitus, levocardia, concordant atrio-ventricular-and ventriculo-arterial connections, partial AVSD with large ostium primum defect with left-to-right atrial shunt, cleft anterior mitral leaflet with trivial mitral regurgitation, tiny left ventricular to right atrium (LV-RA) shunt via a small left ventricle to right atrial septal defect, severe pulmonary valvular stenosis (Max PG = 96 mmHg), no tricuspid regurgitation, there was a double orifice of the right ventricular component of the common AV valve [Figures 1 and 2].
2d echocardiography with subcostal short axis view (enface view) showing double orifice of right sided component of the common AV valve. RA: Right atrium, RV: Right ventricle, LA: Left atrium, LV: Left ventricle, Arrow: DOTV
APC-8-78-g003.jpg
PMC4322410_01_APC-8-78-g003.jpg
F3
Color flow mapping demonstrated non-obstructed flow across both the orifices [Figure 3].