Ischaemic Ventricular Septal Defect
Image acquired by Dr Martina Muggenthaler, Eastbourne Hospital, UK.
This case shows a large acute, mid-septal VSD. The defect is not visible in the standard 4 chamber axis and is only identifiable in an off-axis 4 chamber view.
Other views:
4 chamber view with colour at apex
4 chamber view with colour at tricuspid valve