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Congestive heart failure secondary to an endocardial cushion defect

USU Teaching File MUTF - MedPix

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Congestive heart failure secondary to an endocardial cushion defect

History: The patient is an 8-month-old girl who presents with a chronic cough for the last four months following an episode of hospitalization for bronchiolitis. The patient also has breathing difficulties whenever stressed by illness. The presence of a heart murmur was first noted on the second day of life, and the patient had a single cyanotic episode one month ago. On physical exam, the patient was noted to have scattered crackles in all lung fields and a 3/6 blowing holosystolic and diastolic murmur.

Findings: : Although there are no prior studies for comparison, there is significantly increased pulmonary vascular markings when compared to the normal 8-month-old. There is also an enlarged cardiomediastinal silhouette. Osseous structures demonstrate a twelfth hypoplastic rib on the left.

Ddx: Single ventricle and hypoplastic left heart demonstrate significant cardiomegaly. Transposition has a narrow aortic knob area

No MeSH data available.


Although there are no prior studies for comparison, there is significantly increased pulmonary vascular markings when compared to the normal 8-month-old.  There is also an enlarged cardiomediastinal silhouette.  Osseous structures demonstrate a twelfth hypoplastic rib on the left.
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MPX1131_synpic8779: Although there are no prior studies for comparison, there is significantly increased pulmonary vascular markings when compared to the normal 8-month-old. There is also an enlarged cardiomediastinal silhouette. Osseous structures demonstrate a twelfth hypoplastic rib on the left.


Congestive heart failure secondary to an endocardial cushion defect

USU Teaching File MUTF - MedPix

Although there are no prior studies for comparison, there is significantly increased pulmonary vascular markings when compared to the normal 8-month-old.  There is also an enlarged cardiomediastinal silhouette.  Osseous structures demonstrate a twelfth hypoplastic rib on the left.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1131&req=5

MPX1131_synpic8779: Although there are no prior studies for comparison, there is significantly increased pulmonary vascular markings when compared to the normal 8-month-old. There is also an enlarged cardiomediastinal silhouette. Osseous structures demonstrate a twelfth hypoplastic rib on the left.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Congestive heart failure secondary to an endocardial cushion defect

History: The patient is an 8-month-old girl who presents with a chronic cough for the last four months following an episode of hospitalization for bronchiolitis. The patient also has breathing difficulties whenever stressed by illness. The presence of a heart murmur was first noted on the second day of life, and the patient had a single cyanotic episode one month ago. On physical exam, the patient was noted to have scattered crackles in all lung fields and a 3/6 blowing holosystolic and diastolic murmur.

Findings: : Although there are no prior studies for comparison, there is significantly increased pulmonary vascular markings when compared to the normal 8-month-old. There is also an enlarged cardiomediastinal silhouette. Osseous structures demonstrate a twelfth hypoplastic rib on the left.

Ddx: Single ventricle and hypoplastic left heart demonstrate significant cardiomegaly. Transposition has a narrow aortic knob area

No MeSH data available.