fig21

Figure 21. Still color compare image in a young child from a trans-thoracic echocardiogram in apical modified 4-chamber view showing perimembranous ventricular septal defect with left to right shunting by color Doppler. The left to right shunt is restricted due to the membranous aneurysm formed from the septal leaflet of the tricuspid valve (asterisk and arrow). RA: Right atrium; LA: left atrium; RV: right ventricle.