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Figure 2 Transesophageal echocardiographic images of the same patient as in Figure 1. (A) Four-chamber view showing the perimembranous ventricular septal defect (VSD) with aneurysm formation (arrow). (B) Short-axis view with color Doppler at the subaortic level showing the shunt. (C) The wire of the arteriovenous loop passing from the aorta through the VSD to the right atrium (RA). (D) Four-chamber view showing the delivery sheath in the left ventricular apex. (E) The left ventricular disk is deployed. (F) Short-axis view showing good device position before its release. (G) Final image in the four-chamber view indicates good device position. (H) Color Doppler mapping showing no residual shunt with a trivial tricuspid regurgitation. LA = left atrium; LV = left ventricle; RV = right ventricle.
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