PMC2921527_01
TTE image parasternal short axis view showing small perimembranous VSD with left to right shunt
APC-3-87-g001.jpg
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F0001
Two dimensional TTE confirmed a small perimembranous ventricular septal defect with left to right shunt [Figure 1].
Simultaneous parasternal long axis and short axis view showing two separate mitral orifices
APC-3-87-g002.jpg
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F0002
Both, the septal and the lateral, annuli were guarded by two leaflets [Figure 2].
En-face atrial view showing clearly two separate mitral orifices
APC-3-87-g003.jpg
PMC2921527_01_APC-3-87-g003.jpg
F0003
RT3DE views from left atrial and ventricular sides confirmed the symmetry of both medial and lateral orifices, the central location of abnormal fibrous leaflet tissue, extension of fibrous tissue in ventricle, chordal and papillary muscles insertion on either side [Figures 3 and 4].
En-face ventricular view demonstrating separate chordal insertion for each orifices
APC-3-87-g004.jpg
PMC2921527_01_APC-3-87-g004.jpg
F0004
RT3DE views from left atrial and ventricular sides confirmed the symmetry of both medial and lateral orifices, the central location of abnormal fibrous leaflet tissue, extension of fibrous tissue in ventricle, chordal and papillary muscles insertion on either side [Figures 3 and 4].