Author
Contributions:
Drafting article: Risa Shimbori, Jun Takaki, Hosoda Yasuhito, Ken
Okamoto, Koji Fukae
Critical revision: Toshihiro Fukui
References
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Figure Legends
Figure 1: (A)Twelve-lead electrocardiography showed sinus rhythm, left
axis deviation, incomplete right bundle blanch block pattern. (B) Four
chamber view of transthoracic echocardiogram shows a left atrial to
right atrial shunt. (C) Cardiac catheterization shows gooseneck
deformity. (LV =left ventricle, LA =left atrium, RV=right ventricle,
RA=right atrium)
Figure 2: Operation. (A) The cleft of mitral valve. (B) Pericardial
patch is sutured in place to close atrial component of defect. Coronary
sinus remains draining to right atrium. (CS = coronary sinus, MV =
mitral valve, RA = right atrium)
Figure 3: Post-operative transthoracic echocardiogram, there was no leak
around pericardial patch. (LV =left ventricle, LA =left atrium, RV=right
ventricle, RA=right atrium)