case_images: PMC10988181_01
case_images: Anterior muscular VSD seen in transthoracic echocardiography (A); Severe MR seen in the echocardiography of the patient (B); Cardiac CT angiography confirmed the presence of a VSD (C); Cardiac Angiography- VSD is shown after dye injection (red arrow) (D); Cardiac Angiography- Occlusion of VSD by an Amplatzer cera liftech muscular occlude (E).
case_images: aaem-12-e25-g001.jpg
case_images: PMC10988181_01_aaem-12-e25-g001.jpg
case_images: F1
case_images: There was an anterior muscular VSD (Figure 1A) with a size of 7-8 mm. A CT angiography was requested to obtain more information about his heart condition, which confirmed the echocardiography findings (VSD on the anterior and muscular parts of the interventricular wall) (Figure 1C) but no more remarkable abnormal findings.  With the injection of dye, a large anterior muscular VSD (Figure 1D), severe MR, mild pulmonary hypertension, and the enlargement of the left ventricle and atrium were found. Anterior muscular VSD was successfully occluded by the Amplatzer cera liftech muscular cclude (10 mm) (Figure 1E).