Image of the week- 24 June 2026

A 15-year-old girl is referred for evaluation of a systolic murmur. Echocardiography reveals the findings shown. What is the most likely diagnosis?

Perimembranous ventricular septal defect with left-to-right shunt

Tricuspid valve regurgitation

Gerbode defect (left ventricle-to-right atrium shunt)

Coronary artery fistula

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