Three-dimensional echocardiographic diagnosis of a giant congenital diverticulum of the left ventricular outflow tract Jiani Liu, Xiaoling Zhang, Xi.

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Three-dimensional echocardiographic diagnosis of a giant congenital diverticulum of the left ventricular outflow tract Jiani Liu, Xiaoling Zhang, Xi Li, Xin Wei, Hong Tang International Journal of Cardiology Volume 178, Pages 1-4 (January 2015) DOI: 10.1016/j.ijcard.2014.10.096 Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

Fig. 1 In two-dimensional transthoracic echocardiogram, (A) an abnormal pouch structure (LVD) is located at the front of the left ventricular outflow tract. (B) A large muscular outpouching (LVD) is linking with the left ventricle. International Journal of Cardiology 2015 178, 1-4DOI: (10.1016/j.ijcard.2014.10.096) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

Fig. 2 Color Doppler echocardiography images. (A) The blood flow from the left ventricle into the accessory chamber during diastole. (B) The blood flow from the accessory chamber into the left ventricle during systole. International Journal of Cardiology 2015 178, 1-4DOI: (10.1016/j.ijcard.2014.10.096) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

Fig. 3 Three-dimensional transthoracic echocardiography. (A) The LVD is located in the left ventricular outflow tract front part (at right coronary sinus level). (B) The largest cross-section of LVD is about 30∗23∗23mm. (C) The left small circle is a cross section of LVD, and the bigger one is the cross section of LV. International Journal of Cardiology 2015 178, 1-4DOI: (10.1016/j.ijcard.2014.10.096) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

Fig. 4 Computed tomography shows an abnormal large outpouching under the right coronary aortic valve bulging to the LVOT. International Journal of Cardiology 2015 178, 1-4DOI: (10.1016/j.ijcard.2014.10.096) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions