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Fig. 3 | Journal of Medical Case Reports

Fig. 3

From: Hemodynamically balanced congenitally corrected transposition of the great arteries with a large ventricular septal defect, and subvalvular pulmonic stenosis: a case report

Fig. 3

a Apical four-chamber view on transthoracic echocardiography shows a large ventricular septal defect (arrow). b Cardiac computed tomography images at the cutting planes shown in red lines in B-1 and B-2 reveal a large ventricular septal defect and prominent outlet septum. c and d Transthoracic echocardiography with color Doppler shows regurgitation of the right-sided atrioventricular valve (mitral valve) (arrow heads), with a peak velocity of 5.0 m/second. e A three-dimensional model of the cardiac computed tomography at a similar plane to that in (b) (as shown in E-1) is shown. The outflows to the aorta and pulmonary trunk are separated by a prominent outlet septum. The anterior mitral leaflet straddles the ventricular septum and is anchored to the ventricular septum (arrows). f A three-dimensional model of the cardiac computed tomography at a plane similar to that in Figs. 1B-1 and 3B-1 (as shown in F-1) is shown. The mitral leaflet (arrows) is anchored close to the pulmonary valve (arrow heads). There is a significant malalignment between the ventricular septum and outlet septum. (Supplementary video is available in Additional files 1 and 2). AO aorta, LA left atrium, LV left ventricle, MV mitral valve, OS outlet septum, PT pulmonic trunk, RA right atrium, RV right ventricle, TV tricuspid valve, VS ventricular septum

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