We report a 47-year-old man who presented with right-sided heart failure. Transthoracic echocardiography revealed a tunnel-shaped communication (ventricular septal defect) between the left ventricle and the right ventricle with a significant left-to-right shunt. The VSD is connected to the lateral wall of the right ventricle by a large tunnel.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10697855PMC
http://dx.doi.org/10.1002/ccr3.8017DOI Listing

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