‘Loud Continuous Murmur’ After Aortic Surgery: A Clue to an Aortic Root to Right Ventricular Outflow Tract Fistula Safal Shetty, MD, Naktal Hamoud, MD,

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‘Loud Continuous Murmur’ After Aortic Surgery: A Clue to an Aortic Root to Right Ventricular Outflow Tract Fistula Safal Shetty, MD, Naktal Hamoud, MD, Keri O'Farrell, RDCS, BA, Scott Lick, MD, Rajesh Janardhanan, MD The American Journal of Medicine Volume 129, Issue 11, Pages e287-e288 (November 2016) DOI: 10.1016/j.amjmed.2016.06.027 Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure (A) Real-time 3-dimensional transesophageal echocardiography demonstrating the aortic root to right ventricular outflow tract (RVOT) fistula. (B) Red arrow points to a dehiscence of the prosthetic aortic valve well visualized on real-time 3-dimensional transesophageal echocardiography. (C) Significant aortic regurgitation (red arrow). The American Journal of Medicine 2016 129, e287-e288DOI: (10.1016/j.amjmed.2016.06.027) Copyright © 2016 Elsevier Inc. Terms and Conditions