An unusual image: Pacman heart

: Partial ventricular septal defect (VSD) (Pacman heart) is extremely rare heart defect which may be a complication of myocardial infarction or congenital deformity. In this image, a 65-year-old male patient admitted with headache and blood pressure dysregulation. Incidentally, transthoracic two-dimensional echocardiography revealed partial VSD which was ensuingly confirmed in thoracic computed tomography. This is the fourth case in light of current literature. Partial VSDs are clinically silent, which can be diagnosed with echocardiography, computed tomography, or cardiac magnetic resonance imaging modalities.