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This video clip showing two-dimensional transesophageal echocardiography. Adult female patient. Lower esophageal views. The arrow points to a very large atrial septal aneurysm prolapsing into the right ventricle (RV). A small pericardial effusion is also seen. Color Doppler examination in the 4-chamber view shows a large secundum defect (arrow) with left to right shunting (LA: Left atrium; LV: Left ventricle; RA: Right atrium; RV: Right ventricle).
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