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The Egyptian Heart Journal
Fig. 4 | The Egyptian Heart Journal

Fig. 4

From: Cor triatriatum with supramitral ring: “cor tetratriatum”, associated with Raghib syndrome with Eisenmenger syndrome: multimodality imaging approach in this exceedingly rare case report

Fig. 4

Contrast transthoracic echocardiography in apical 4 chamber view with contrast injected in left antecubital vein showing contrast 1st appearing in LA2 (A) and then progressing to right atrium through the ASD (arrow) (B). Cardiac MRI showing right superior vena cava draining into right atrium (arrow) (C) and left superior vena cava draining into left atrium (arrow) with absence of innominate vein (D). Fluoroscopic image with Berman catheter in right superior vena cava showing right superior vena cava draining into right atrium (arrows) (E) and left superior vena cava draining into left atrium (arrows) (F) confirming completely unroofed coronary sinus. * Indicates completely unroofed coronary sinus. LA, left atrium; RV, right ventricle; LV, left ventricle; RSVC, right superior vena cava; LSVC, left superior vena cava; LAA, left atrial appendage; AO, aorta; PA, pulmonary artery; RPA, right pulmonary artery

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