Abstract

We report the case of a 63-year-old man with an apical trabecular ventricular septal defect (VSD) with a restrictive unidirectional left-to-right shunt (peak gradient 80 mmHg), originating from a perfused, dyskinetic apical pseudoaneurysm (PA; 38 × 31 mm) primarily diagnosed by transthoracic echocardiography ( Panels A – C ). The communication between the left ventricular (LV) cavity and the …

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