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A 4-year-old girl had small ventricular septal defect (VSD) and atrial septal defect (ASD) status post closure with Figulla Flex II septal occluder 1 year ago.
She was admitted because of prolonged fever. Echocardiography demonstrated a sac-like vegetation near the tricuspid valve (TV) and the occluder (figure 1 A,B; online supplementary material, videos S1 & S2) and small subaortic VSD with left ventricular (LV) to right atrium …
Competing interests None declared.
Patient consent Parental/guardian consent obtained.
Provenance and peer review Not commissioned; externally peer reviewed.