Malalignment ventricular septal defect in a patient with tetralogy of Fallot

This still frame from the accompanying echocardiographic video of the parasternal long-axis view demonstrates the malalignment of the ventricular CS and TS, which results in aortic override in a patient with tetralogy of Fallot. In the video clip, cephalad angulation of the imaging transducer reveals the hypoplastic pulmonary artery.