Post-operative left ventricular to right atrial shunt: detection by colour Doppler echocardiography

A 24-yr-old man, who underwent combined mitral and aortic valve replacements for rheumatic valvar heart disease, was detected to have a left ventricular to right atrial fistula 3 months after surgery on routine cross-sectional and colour Doppler echocardiography. This complication of valve replacement is reported because of its rarity.