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Transcatheter Decompression of the Left Atrium in an Adolescent with a Double Inlet Left Ventricle, Severe Parachute Mitral Valve Stenosis and Pulmonary Hypertension

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Figure

Figure 1. Transthoracic echocardiography shows by apical view a double inlet left ven-tricle with intact atrial septum and a stenosed parachute mitral valve
Figure 2. Oblique Cardio Computer tomography (cCT) shows an unrestrictive ventricle septum defect communicating with a hypoplastic right ventricle and slightly reduced right ventricular outflow tract (19 mm) and an enlarged pulmonary artery (35 mm)
Figure 3. Demonstrates the color-Doppler left-to-right shunt across a created restrictive atrial septum defect (rASD); here during the ventricular systole an additional discrete tricuspid valve regurgitation is shown
Figure 4. Shows the left atrium by cCT imaging: (a) before the creation of a rASD a right pulmonary vein (rPV) of 22.5 mm is measured; (b) with rASD the rPV diameter de-creased to 17 mm

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