Gadhinglajkar, ShrinivasSreedhar, RupaKrishnamanohar, Soman RJayant, AveekBhoomkar, Nikhil S2012-12-042012-12-042009Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography. 22; 6; 754000-5http://dx.doi.org/10.1016/j.echo.2009.02.001https://dspace.sctimst.ac.in/handle/123456789/386A 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.Cardiology