Post Infarction Complication

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TEEintraoppreopME4CVCFD
Short case presentation
65 yo male s/p MI with hypotension and SOB 5 days after the myocardial infarction.
The LVOTd is 1.88 cm. The RVOTd is 3.2 cm. The RVOT VTI is 17.5. The LVOT VTI is 16.1 cm.

What is the diagnosis?
Measure the left and right flow and calculate the shunt.