Abstract

A 13-year-old male was referred to us for gradually progressive dyspnoea. The physical examination revealed a grade 4/6 continuous murmur with maximum intensity in the left parasternal area. A chest X-ray disclosed mild cardiomegaly and ECG was normal. The two-dimensional transthoracic echocardiogram (2D-TTE) in the apical five-chamber view showed a large tunnel-like structure arising from the right aortic sinus ( Panel A ; see Supplementary data online, Movie S1 ) and it …

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