Fig. 1 Echocardiography (in a parasternal short-axis view with color-flow Doppler) shows an abnormal jet lesion in the right ventricular outflow tract (arrow) near the aortic valve's 1 o'clock position—supracristal VSD. The lesion is small and “restrictive.”

Real-time motion image is available at texasheart.org/education/thijournal/miller331.cfm.