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A: Transthoracic parasternal short axis view showing large, mobile vegetation (white arrow) on pulmonary valve. B: Transesophageal echocardiography showing a small subarterial type VSD with left to right shunt. Large amount of thrombus and vegetation were found in right ventricle. MPA: main pulmonary artery, LVOT: left ventricular outflow tract, Ao: aorta.
