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Fig. 3 | Cardiovascular Ultrasound

Fig. 3

From: Aorto-ventricular tunnel with three orifices: a unique case report diagnosed by transthoracic echocardiography

Fig. 3

TTE images. A An AVT was noted, and its aortic and LV opening was observed in the parasternal long-axis view. B-C Color Doppler flow imaging (CDFI) revealed the anterograde systolic and retrograde diastolic flow between the aorta and the LV via the AVT in the parasternal long-axis view. D The retrograde diastolic flow via the AVT was also shown in the apical five-chamber view. E–F With a slight tilt of the probe, an RV opening was observed from the AVT in the modified parasternal long-axis view, and CDFI displayed a flow jet from the AVT to the RV. G-H The RV opening was also confirmed in the short-axis view. I The AV was calcified with a small aneurysm of the non-coronary cusp. J-L The MV chordal rupture of the P2 and P3 segments was observed in the posterior leaflet with severe eccentric regurgitation

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