PMC7773472_01
Transthoracic echocardiography in 4-chamber view shows (a) morphologic LV which is the right side of rudimentary RV, (b) large inlet type VSD, very small ASD, (C) PA originate from the main ventricle with confluent PABs, (d) Thick and hypo plastic left AV valve severe stenosis (MG:15, PG:21).
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fig1
The thick and hypoplastic left A-V valve was remarkable with severe stenosis (MG:15 mmHg, PG:21 mmHg, Figures 1(a)-1(d)).
RV injection shows rudimentary systemic RV at the left side and large VSD.
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fig2
PA originated from LV (Figure 2).
AFR is seen in the proper position.
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fig3
Eventually, after complete assessment of the device position, its stability, and the degree of left to right shunt, the device was released (Figure 3).
Follow-up echocardiography indicating the proper position of the AFR device with left-to-right shunt.
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fig4