What's your best diagnosis for this echocardiography clip?
Note the jet seen in the parasternal short axis view and the apical long axis/3 chamber view.
The video clip posted above shows a Coronary to Pulmonary Fistula. This type of communication can occur congenitally as well as post interventional and surgical cardiac procedures. According to a study sited by the Texas Heart Institute Journal, Coronary to Pulmonary communications, whether they are congenital or acquired, must be considered benign, in regard to their effect on coronary physiology. Tex Heart Inst J. 2000; 27(4): 327–329.
See the video below with additional clips and images:
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