Intraoperative TEE post-VSD repair demonstrating the DVSH (unlabeled arrow) and the systolic narrowing of the LVOT caused by the anterior mitral leaflet/chordal apparatus coming in contact with the DVSH (AML/Chordae). Key: AML/Chordae—anterior mitral leaflet/chordal apparatus, DVSH—dissecting ventricular septal hematoma, LVOT—left ventricular outflow tract, TEE—transesophageal echocardiogram, VSD—ventricular septal defect.