
Figure 1
12-lead ECG showing atrial fibrillation with ventricular rate of 72 beats per minute, right bundle branch block, QS complex in V2-V6, extreme right QRS axis deviation, and QTc interval of 508 ms.

Figure 2
Transthoracic echocardiography modified apical 4-chambers view: large single atrium (A), dilated right ventricle (RV), small pericardial fluid (*), left ventricle (LV), mitral valve (MV), tricuspid valve (TV).

Figure 3
Transthoracic echocardiography modified apical 4-chambers view, color doppler: severe tricuspid regurgitation.

Figure 4
Postero-anterior chest X-ray showing the positioning of the pacemaker lead (*).

Figure 5
Classification of atrioventricular septal defects. AVSD atrioventricular septal defect; LA, left atrium; LV, left ventricle; RA, right atrium; RV, right ventricle; AV, atrioventricular.