With color flow mapping, three jets of flow can be seen crossing the intraventricular septum. The apical jets share a common origin of the left ventricular aspect of the septum but enter the right ventricle via separate orifices.
VSD: ventricular septal defect; LA: left atrium; RA: right atrium; LV: left ventricle; RV: right ventricle; arrows: multiple muscular VSDs.