Figure 1.

(A) Transoesophageal echocardiogram (TOE) indicating aortic valve vegetation (red arrow) causing severe anteriorly directed aortic regurgitation. (B) Postoperative transthoracic echocardiogram short axis view at the level of the aortic valve, showing a turbulent left-to-right systolic flow across the ventricular membranous septum. Also, seen in a modified four-chamber view (with and without colour flow (C) and (D), respectively) and in postoperative TOE (E) with a high velocity across the ventricular septal defect on continuous wave Doppler assessment (F) suggesting a small-sized shunt.