PMC3959069_01
Postnatal chest X-ray shows cardiomegaly and increased pulmonary vascularity
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F1
A chest X-ray revealed significant cardiomegaly and increased pulmonary vascularity [Figure 1].
Parasternal long axis view demonstrates a perimembranous ventricular septal defect (VSD) at the end-diastole.
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F2a
Transthoracic echocardiography performed on the first day of life [Figure 2a-b] revealed (S,D,S) normal segmental anatomy with atrioventricular and ventriculoarterial concordance.
Apical four chamber view at the end-diastole.
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F2b
An echocardiogram 6.5 months postoperatively [Figure 3a-c] demonstrated severe tricuspid regurgitation, right-to-left shunting across the atrial communication, and new mild left upper pulmonary vein stenosis, with a mean gradient of 3-4 mmHg.