title: Right-to-left shunting through the unidirectional valved patch after closure of ventricular septal defect.
abstract: Postoperative transesophageal echocardiography images of a patient undergoing unidirectional valved patch closure of ventricular septal defect in the setting of severe pulmonary hypertension are presented. The images and videos elegantly demonstrate a functioning valve without any obstruction to the left ventricular outflow.
authors.affiliation: Department of Cardiothoracic and Vsscular Surgery, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Sachin
authors.initials: S
authors.lastname: Talwar
authors.affiliation: Department of Cardiac Anaestheia, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Poonam Malhotra
authors.initials: PM
authors.lastname: Kapoor
authors.affiliation: Department of Cardiac Anaestheia, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Jitin
authors.initials: J
authors.lastname: Narula
authors.affiliation: Department of Cardiothoracic and Vsscular Surgery, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Vikas Kumar
authors.initials: VK
authors.lastname: Keshri
authors.affiliation: Department of Cardiothoracic and Vsscular Surgery, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Shiv Kumar
authors.initials: SK
authors.lastname: Choudhary
authors.affiliation: Department of Cardiothoracic and Vsscular Surgery, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Balram
authors.initials: B
authors.lastname: AIran
mesh_terms: D002648:Child; D017548:Echocardiography, Transesophageal / Q000379:methods*; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D011183:Postoperative Complications / Q000517:prevention & control