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A 67-year-old lady was referred to our institution 3 years ago with a heart murmur, having had an atrial septal defect (ASD) repair with a Dacron patch 20 previously. Transthoracic echocardiography demonstrated a linear echo-density in the left atrium. On transesophageal echocardiogram (TOE; panel A), a septum (white arrows) divided the left atrium into two chambers connected by a visible channel (LA, left atrium; LV, left ventricle; PVC, pulmonary …
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