18 January 2022>: Articles
A 34-Year-Old Thai Man Presenting with Pulmonary Stenosis and Heart Failure 24 Years After Surgical Correction with the Rastelli Procedure for Congenital Dextro-Transposition of the Great Artery, Ventricular Septal Defect, and Pulmonary Atresia
Challenging differential diagnosis, Congenital defects / diseasesNatnicha Pongbangli A* , Sasivimon Jai-aue D , Wannaphorn Rotchanapanya E , Wanwarang Wongcharoen D
Am J Case Rep 2022; 23:e933078
Figure 2. Transthoracic echocardiography demonstrates marked right ventricular dilatation (A), color Doppler M-mode in the parasternal long-axis view shows turbulent flow across the interventricular septum during the systolic phase compatible with ventricular septal defect patch leakage (B). Transesophageal echocardiography shows severe degenerative calcification with limited opening of the pulmonary valve (C) compatible with severe pulmonary stenosis (right ventricle-to-pulmonary artery conduit dysfunction) indicated by the yellow arrow.