Left Ventricular to Right and Left Atrial Shunts Post–Myxoma Resection: A Multimodality Imaging Perspective

Two-dimensional TEE, aortic valve short-axis systolic view without <b>(A)</b> and with <b>(B)</b> color flow Doppler, long-axis (140°) LVOT view <b>(C)</b>, and three-dimensional volume-rendered display <b>(D)</b>, demonstrates both the acquired Gerbode defect <i>(red arrow)</i> and the LVOT-mitral anterior leaflet shunts with high-velocity turbulent flow patterns. <i>IAS</i>, Interatrial septum; <i>LA</i>, left atrium; <i>LV</i>, left ventricle; <i>LVOT</i>, left ventricular outflow tract; <i>MV</i>, mitral valve; <i>RA</i>, right atrium; <i>RV</i>, right ventricle; <i>TEE</i>, transesophageal echocardiogram.