Echo - hepato pulmonary syndrome

What pathology can you see in this pediatric echo loop obtained from ductal view? A) Atrial septal defect (ASD) B) Overriding aorta C) Hemodynamically significant patent ductus arteriosus (hsPDA) with left-to-right shunt D) Patent ductus arteriosus (PDA) with right-to-left shunt due to pulmonary hypertension 📌 Echo image by courtesy of Dr. Yogen Singh. You will have the chance to meet Dr. Yogen Singh, Expert in Paediatric Cardiology in our new NUBC course that's out now. #123sonography #sonogra