Fig. 2
From: Right atrial approach for repairing a posterior ventricular septal rupture: a case report
Preoperative examinations. a Short-axis view of preoperative transthoracic echocardiography showing a perforation site (17Â mm in diameter) near the posteromedial papillary muscle in the basal ventricular septum. b Left-to-right shunt flow via the ventricular septal rupture in the systolic phase (white arrow). c. Coronary angiography showing complete occlusion of the last branch of the dominant left circumflex artery (black arrow)