Multiple Choice Question of the Week : Echo-09 : [Answer]

             
      


Transthoracic echocardiogram performed in a patient after surgical aortic valve replacement.

What do you think of these views?

A) Prosthetic valve endocarditis
B) Iatrogenic ventricular septal defect
C) Paravalvular leak
D) Normal views



Right answer is: B) Iatrogenic ventricular septal defect

Iatrogenic ventricular septal defect is a possible complication of aortic valve replacement surgery. In this case there is an example of a small asymptomatic ventricular septal defect with left-to-right flow.

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