Residual VSD (Gerbode defect) and severe AR complicating surgical VSD patch closure

A female patient aged 28 years, S/P VSD surgical patch closure 12 years ago, presenting with shortness of breath. Her TTE revealed severe AR with suspected residual VSD.

VSD,ventricular septal defect,aortic regurgitation,AR,complication,3D,TEE,TTE,Gerbode,