Abstract

Fig. 1. Transthoracic (TTE) and transesophageal (TEE) echocardiographic images. A. Apical four chamber image in TTE shows tricuspid atresia (arrow) and atrial septal defect. B. Suprasternal image in TTE shows hypoplastic main pulmonary artery and well developed branch pulmonary arteries. C. Transverse plane image in TEE shows malposition of great arteries. The aorta is anterior and right to the pulmonary artery (D-malposition). Large atrial septal defect can be identified as well. D. Longitudinal plane image in TEE shows both great arteries arising from the left ventricle in parallel fashion. There is severe pulmonary outflow tract obstruction and pulmonary conus is present (arrow). PA: pulmonary artery; AO: aorta; and LA: left atrium.

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