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Usefulness of Four-Dimensional Trans-Oesophageal Echocardiography in Device Closure of An Unusual Post Myocardial Infarction Ventricular Septal Defect

Gregory James Skinner, Christopher Duke, and Suhair Omar Shebani

Presentation of the transoesophageal echocardiogram for a patient undergoing transcatheter closure of a post infarction ventricular septal defect through a pseudoaneurysm at the basal rather than the apical part of the septum, posing a diagnostic and interventional planning challenge. Four dimensional imaging clarified the complex anatomy of the pseudoaneurysm, aiding device closure.