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Serial 2D TTE (case 2), PSAX end-diastolic views, demonstrates the ms-RVOT (boxed white arrow; notched arrow; asterisk) and the normal-sized pulmonary annulus (blue arrow) before ARVC diagnosis (A), at 1-year follow-up (B), and after ARVC diagnosis at age 24 years (C). These serial images were captured in slightly different acoustic windows due to aging and sonographer manipulation to avoid lung artifacts. Ao, Aorta; MPA, main pulmonary artery.
