Routine examination due to noise in the heart during auscultation.
At CFM in the projection of the ostium of the LCA(left coronary artery) and PA(pulmonary artery) an additional flow is visualized up to 3 mm at the base(coronary fistula from LCA to PA?)
A comment appeared on this video on YouTube asking
Whether this could also be ALCAPA or VSD?
I duplicate my answer here:
"Ultrasound is not a method for differential diagnosis of additional flows in the heart; for this there is (coronary) angiography. However, such an echo-picture is more typical for a coronary fistula than for ALCAPA or VSD."
