Gadhinglajkar, SSreedhar, RKrishnamanohar, SRJayant, ABhoomkar, NS2017-03-102017-03-10200922 ,6;-10.1016/j.echo.2009.02.001https://dspace.sctimst.ac.in/handle/123456789/9610A supracristal ventricular septal defect (VSD), an outlet VSD situated in subaortic and subpulmonic regions, has a strong association with prolapse of the aortic valve cusp. The authors report the case of a patient operated for a supracristal VSD with prolapse of the right coronary cusp. The VSD was found to be in the subaortic position on preoperative transthoracic echocardiography, which failed to detect the presence of a double-chamber right ventricle. Intraoperative transesophageal echocardiography correctly recognized the supracristal nature of the VSD and identified the double-chamber right ventricle, subsequently altering the course of surgery. (J Am Soc Echocardiogr 2009;22:754.e3-754.e5.)Cardiovascular System & Cardiology