Figure 2 :(A ) In the short-axis view of the great vessels view with color Doppler demonstrated the left ventricular to right atrial shunt and the defect was just blow the MV but above the TV.The blue shunt is often confused with tricuspid regurgitation.(The white arrow shows the LV-to-RA shunt),(B )In parasternal long-axis right ventricular inflow tract view with color Doppler demonstrated the left ventricular to right atrial shunt. (The white arrow shows the LV-to-RA shunt),(C )The VSD in operation in right atrial view,(D )The VSD was closed with a continuous technique using 6-0 prolene suture with an autologous pericardial patch.