PMC5654272_01
Parasternal long-axis view demonstrating a laminar flow from the LV to the interventricular septum (red arrow).
CRIPE2017-4303298.001.jpg
PMC5654272_01_CRIPE2017-4303298.001.jpg
fig1
Close observation of the color Doppler showed a continuous loop starting from the LV, across the VSD continuing through the RV trabeculations, and back to the LV without ever communicating with the RV cavity (Figures 1() and 2()).
Cardiac MRI (multislice 4-chamber view) showing a small muscular VSD (yellow arrow).
CRIPE2017-4303298.003.jpg
PMC5654272_01_CRIPE2017-4303298.003.jpg
fig3
A cardiac magnetic resonance imaging (MRI) confirmed that postulation and showed the small muscular VSD tract covered by hypertrophied trabeculations on the RV side (Figures 3() and 4()).