case_images: PMC11824494_01
case_images: (A) Transesophageal echocardiogram (TEE) showing the mid-esophageal modified right ventricular inflow view. There is severe tricuspid regurgitation (marked with arrow). (B) TEE showing a lower esophageal view of the inferior sinus venosus atrial septal defect (ASD). This image shows a high-velocity jet with right-to-left shunting. This is the result of the traumatic severe TR and the jet is directed at the sinus venosus ASD causing the right-to-left shunting (measuring 75 and <10 mm2).
case_images: CRIS2025-6711702.001.jpg
case_images: PMC11824494_01_CRIS2025-6711702.001.jpg
case_images: fig1
case_images: Regurgitant jet shunting of blood continued to be noted flowing from right to left across residual ASD (Figure 1A). Two residual ASDs were identified at site of prior sinus venosus repair measuring 75 and <10 mm2 on 3-deminsional imaging (Figure 1B).