thanks

1) location ( cleft is usually involves apical part but partial interventricular defect-pacman- involves mid to the base of the heart 2) numbers: in cleft we have multiple defects but pacman is single 3) shape: clefts usually have irregular borders- like tree root but pacman is triangular shape that during diastole becomes wider & in sys narrower- like pacman. 4) pacman is rare that can be congenital or post-inf