Figure 3

Echocardiogram. A) Transthoracic echocardiogram in the apical 4 chamber view showing a ventricular septal rupture in the inferobasal myocardial septum with left-to-right shunt by color Doppler mapping. B) Transthoracic echocardiogram in the parasternal long axis view showing significant right ventricular enlargement (proximal right ventricular outflow tract in this image) secondary to left-to-right shunt and volume overload. C) Transesophageal echocardiogram from a modified transgastric view at 0° demonstrates a 1.6 cm defect in the inferobasal septum at the level of the mitral valve (MV) and tricuspid valve (TV). D) High velocity turbulent flow of left-to-right shunt by color Doppler across the ventricular septal rupture noted in C.