Case 158

Ventricular septum defect with right to left shunt
Courtesy of: AMC Echolab, AMC, The Netherlands
PLAX: large perimembraneous ventricular septum defect	PSAX: dilated right ventricle, flattening of interventricular septum
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PSAX with Color Doppler: right to left shunt (syndrome of Eisenmenger)	A4CH: dilated right ventricle, poor function, VSD
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A4CH with Color Doppler: right to left shunt	Continuous-wave Doppler signal of tricuspid regurgitation: severe pulmonary hypertension
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