case_images: PMC10869315_01
case_images: Intraoperative TEE showing the atrial septal defect. TEE, transesophageal echocardiography
case_images: cureus-0016-00000052406-i01.jpg
case_images: PMC10869315_01_cureus-0016-00000052406-i01.jpg
case_images: FIG1
case_images: A 48-year-old female with a past medical history of bilateral breast prosthetic implants was referred to the cardiology department for preoperative evaluation before undergoing cosmetic surgery for breast augmentation due to abnormal findings on her ECG: sinus rhythm with right bundle branch block (RBBB), left anterior fascicular block, and first-degree AV block (Figure 1).
case_images: TEE mid-esophageal view showing the membranous ventricular septal defect. TEE, transesophageal echocardiography
case_images: cureus-0016-00000052406-i02.jpg
case_images: PMC10869315_01_cureus-0016-00000052406-i02.jpg
case_images: FIG2
case_images: The intraoperative transesophageal echocardiogram further confirmed the presence of the ostium primum ASD (Figure 2), as well as additional cardiac anomalies including a cleft in the anterior leaflet of the mitral valve and membranous ventricular septal defect (VSD) (Figure 3).
case_images: TEE mid-esophageal view with color Doppler showing the atrioventricular septal defect. TEE, transesophageal echocardiography
case_images: cureus-0016-00000052406-i03.jpg
case_images: PMC10869315_01_cureus-0016-00000052406-i03.jpg
case_images: FIG3
case_images: The intraoperative transesophageal echocardiogram further confirmed the presence of the ostium primum ASD (Figure 2), as well as additional cardiac anomalies including a cleft in the anterior leaflet of the mitral valve and membranous ventricular septal defect (VSD) (Figure 3).