Gregory James Skinner, Christopher Duke, and Suhair Omar Shebani
Presentation of the transoesophageal echocardiogram for a patient undergoing transcatheter closure of a post infarction ventricular septal defect through a pseudoaneurysm at the basal rather than the apical part of the septum, posing a diagnostic and interventional planning challenge. Four dimensional imaging clarified the complex anatomy of the pseudoaneurysm, aiding device closure.