Вальсальва

it seems to be fibroelastoma,multimodality imaging?
The option is cystic haemangioma and myxoma obviously and rhabdomyoma.
Any familary history?
One should think about connective tissue deseases
Rhabdyomyoma is rather exluded,he is too old.
Do you have other clips, CT or CMR?
Is anybody here?

Bradycardia lonesome- niet, mit PQ interval> 260 ms-> yes
Aortic stenosis and insufficientia also

SSN-suprasternal notch

On the right SVC,blue jet.
Suprasternal notch view

One question: What is the difference between diverticulum and aneurysma, for example diverticulum of left atrial appendage and aneurysma of left atrial appendage?

Yes a little too big, diverticulum of LAA exactly.incydentaloma.

Besides if you look closer a little bit,one can see levoatrial isomerism.I mean topic clips,especially 4CH inverted view

55 y old men a sea horse of mine

Looking sobcostal and 4CH view- this is a RA appendage diverticulum/aneurysma.
I have diagnosed one appendage diverticulum, LAA diverticulum "sea horse" like

Native state of this clip is unknown for me,this flow,canal along free wall of right ventricle is remodelling wall of RV.Could you give some colours?
After all I doubt if there is anybody to know the secret of a anomaly.What the prevalence is of the desease?

I have ever never have seen something like that before.
This is not a primary lesion,I believe there was surgical intervention.
What kind of a primary lesion ,maybe anomalous drainage of IVC or SVC to left atrium?
Maybe something else

I have been writting That i s no sinus venosus ASD,just above

That is a problem "?"- what is it?

Prominent red flow Nr1 - normal SVC,no sign of PLVCS,no Sinus venosus ASD neither SVC nor IVC, there is IVC rim septum primum and SVC rim with septum secundum continuity.No dilatation of RA nor RV.I can see no anomalous pulmonary vein drainage.IAS bulging into RA.Drop-out artefact in a region of fos...

The winner of VSD and the owner of a kingdom is.. profesor Alexandr Sokołow