case_images: PMC10413882_01
case_images: Transesophageal echocardiogram, mid-esophageal long-axis view with color flow Doppler demonstrates a prominent color Doppler signal (arrow) from the right coronary cusp to the RVOT, at or slightly above the level of the aortic annulus.. Abbreviation: RVOT, right ventricular outflow tract.
case_images: 10.1177_23247096231191875-fig1.jpg
case_images: PMC10413882_01_10.1177_23247096231191875-fig1.jpg
case_images: fig1-23247096231191875
case_images: These findings defined a potential aorta to RV outflow tract fistula with possible extension into the perimembranous septum (Figure 1, Video 1, and Video 2).
case_images: Interval transcatheter aortic valve replacement cardiac computed tomography with angiography demonstrates a small fistulous communication (arrows) between the aortic root, right coronary cusp to RV/RVOT with extension to the left ventricular outflow tract forming a perimembranous ventricular septal defect: (A) axial view, (B) coronal view, and (C) sagittal view.. Abbreviation: RV/RVOT, right ventricle/right ventricular outflow tract.
case_images: 10.1177_23247096231191875-fig2.jpg
case_images: PMC10413882_01_10.1177_23247096231191875-fig2.jpg
case_images: fig2-23247096231191875
case_images: These findings defined a potential aorta to RV outflow tract fistula with possible extension into the perimembranous septum (Figure 1, Video 1, and Video 2). The patient underwent cardiac computed tomography with contrast demonstrating a small aortic root (right coronary cusp) to RVOT fistula creating a perimembranous ventricular septal defect (Figure 2) as previously seen on the transesophageal echocardiogram.
case_images: Enlarged version of Figure 2(A), demonstrating the aforementioned fistulous communication measuring approximately 7.3 mm in diameter.. Abbreviation: RV/RVOT, right ventricle/right ventricular outflow tract.
case_images: 10.1177_23247096231191875-fig3.jpg
case_images: PMC10413882_01_10.1177_23247096231191875-fig3.jpg
case_images: fig3-23247096231191875
case_images: The cardiac shunt measured 7.3 mm in the coronal view (Figure 3).