Ann Pediatr Card Close
 

Figure 1: (a) Echocardiographic apical four-chamber view showing mitral (arrow) and pulmonary valve (arrow head) continuity with apical displacement of the septal leaflet of the tricuspid valve which is trying to restrict the ventricular septal defect (open arrow); the supratricuspid membrane is separately seen (open arrow head); the membrane (marked with star in panel b) is distinctly visualized in the modified apical four-chamber view; panel c shows turbulent flow across the membrane with gradients of 26/18 mm of Hg (panel d)

Figure 1: (a) Echocardiographic apical four-chamber view showing mitral (arrow) and pulmonary valve (arrow head) continuity with apical displacement of the septal leaflet of the tricuspid valve which is trying to restrict the ventricular septal defect (open arrow); the supratricuspid membrane is separately seen (open arrow head); the membrane (marked with star in panel b) is distinctly visualized in the modified apical four-chamber view; panel c shows turbulent flow across the membrane with gradients of 26/18 mm of Hg (panel d)