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Page 26 of 41                       Rao. Vessel Plus 2022;6:25  https://dx.doi.org/10.20517/2574-1209.2021.92
































                Figure 45. Echo-Doppler studies in apical four-chamber (A, B) and parasternal long-axis (C) projections demonstrating a very small
                ventricular septal defect (VSD) (arrows in A-C) with increased flow velocity through the VSD by continuous wave Doppler (D). Note
                partial occlusion of the VSD (A) due to aneurismal formation. The left atrium (LA) and left ventricle (LV) are labeled. Reproduced from
                Ref. [34] .




































                Figure 46. Echo-Doppler studies in parasternal long-axis (A, D) and apical four-chamber (B, C) views of a ventricular septal defect in
                the process of spontaneous closure. Note the aneurism (Anu) seen by two-dimensional echo (A-C). Tiny residual shunt (RS) is seen by
                color flow imaging (C). There is high Doppler velocity (4.3 m/s) by continuous wave Doppler (D) suggesting that the residual defect is
                small. Ao: Aorta; LA: left atrium; LV: left ventricle; RV: right ventricle.
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