Figure 4 A,B: transesophageal echocardiography (A) with colored Doppler (B): The noncoronary cusp demonstrated a perforation/rupture extending to the right atrium with a large mass associated with the site of extension to the right atrium and significant left to right shunting noted

From

Aorta-Right Atrial Tunnel Causing Heart Failure in a Young Female

Mohammed Al-Sadawi, Muhammad Ihsan, Arismendy Nunez Garcia, Jason M. Lazar, Robert Poston, Murad Almasri, Haytham Aboushi, Samy I. McFarlane

American Journal of Medical Case Reports. 2019, 7(11), 267-270 doi:10.12691/ajmcr-7-11-1