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The right image portrays interventricular septum (IVS) flattening during systole, a finding characteristic of right ventricular pressure overload. Together, these transgastric midpapillary short-axis images capture the classic echocardiographic finding of a “D”-shaped left ventricle (LV) secondary to septal flattening in the setting of .
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As discussed, as the right-sided pressure increases, the shape of the RV changes to a rounded structure, which compresses the LV in diastole. This can be visualised on TTE as causing a D-shaped LV. The interventricular septum will shift in diastole and the left ventricular eccentricity index (LVEI) can measure this effect by .
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