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Case 2/2015 a 33-year-old woman with double right ventricular chamber and ventricular septal defect.

Atik E - Arq. Bras. Cardiol. (2015)

View Article: PubMed Central - PubMed

Affiliation: Instituto do Coração, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

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A heart murmur had been heard at one month of age, and the patient had been followed with a 13-mm diameter ventricular septal defect partially occluded by the tricuspid valve, thus resulting in an effective 4.7‑mm orifice... RV systolic pressure = 110 mmHg. (Figure 2) normal heart sounds suggest normal arterial position, and the preserved pulmonary flow results from an adequate compensatory mechanism... mid-left sternal border suggests the presence of an obstructive lesion in the RV inflow coarser and stronger... Ventricular septal defects of little impact do not result in any patients are treated in childhood and very uncommonly in adulthood... These defects result which causes the ventricle to divide into two parts – a proximal and a distal part... are frequently associated with ventricular septal defects (80% of cases).

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(A) 4-chamber apical view echocardiogram shows ventricular septal defect withseptal aneurysm (arrow); (B and C) short-axis cross-sectional view showing rightventricular inflow tract stenosis (arrows, in colors). (D) Angiography showingseptal aneurysm (arrow) and (E) right ventricular inflow tract stenosis (arrow)with marked hypertrophy.
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f02: (A) 4-chamber apical view echocardiogram shows ventricular septal defect withseptal aneurysm (arrow); (B and C) short-axis cross-sectional view showing rightventricular inflow tract stenosis (arrows, in colors). (D) Angiography showingseptal aneurysm (arrow) and (E) right ventricular inflow tract stenosis (arrow)with marked hypertrophy.

Mentions: Echocardiogram (Figure 2) showedright ventricular inflow tract stenosis causing an intraventricular gradient of 80 mmHg,with a 13-mm diameter ventricular septal defect partially occluded by the tricuspidvalve, thus resulting in an effective 4.7‑mm orifice. There was RV hypertrophy withmildly enlarged right cardiac chambers. Gradient between ventricles was 82 mmHg. Therewas a small aneurysm formation in the ventricular septum. Measurements were as follows:left ventricle (LV) = 45 mm; left atrium (LA) = 32; Ao = 26; septum = posterior wall = 7mm. LV ejection fraction = 66%. There was a 3-mm foramen ovale with bidirectionalpredominantly left‑to‑right shunt. RV systolic pressure = 110 mmHg.


Case 2/2015 a 33-year-old woman with double right ventricular chamber and ventricular septal defect.

Atik E - Arq. Bras. Cardiol. (2015)

(A) 4-chamber apical view echocardiogram shows ventricular septal defect withseptal aneurysm (arrow); (B and C) short-axis cross-sectional view showing rightventricular inflow tract stenosis (arrows, in colors). (D) Angiography showingseptal aneurysm (arrow) and (E) right ventricular inflow tract stenosis (arrow)with marked hypertrophy.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4375663&req=5

f02: (A) 4-chamber apical view echocardiogram shows ventricular septal defect withseptal aneurysm (arrow); (B and C) short-axis cross-sectional view showing rightventricular inflow tract stenosis (arrows, in colors). (D) Angiography showingseptal aneurysm (arrow) and (E) right ventricular inflow tract stenosis (arrow)with marked hypertrophy.
Mentions: Echocardiogram (Figure 2) showedright ventricular inflow tract stenosis causing an intraventricular gradient of 80 mmHg,with a 13-mm diameter ventricular septal defect partially occluded by the tricuspidvalve, thus resulting in an effective 4.7‑mm orifice. There was RV hypertrophy withmildly enlarged right cardiac chambers. Gradient between ventricles was 82 mmHg. Therewas a small aneurysm formation in the ventricular septum. Measurements were as follows:left ventricle (LV) = 45 mm; left atrium (LA) = 32; Ao = 26; septum = posterior wall = 7mm. LV ejection fraction = 66%. There was a 3-mm foramen ovale with bidirectionalpredominantly left‑to‑right shunt. RV systolic pressure = 110 mmHg.

View Article: PubMed Central - PubMed

Affiliation: Instituto do Coração, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

A heart murmur had been heard at one month of age, and the patient had been followed with a 13-mm diameter ventricular septal defect partially occluded by the tricuspid valve, thus resulting in an effective 4.7‑mm orifice... RV systolic pressure = 110 mmHg. (Figure 2) normal heart sounds suggest normal arterial position, and the preserved pulmonary flow results from an adequate compensatory mechanism... mid-left sternal border suggests the presence of an obstructive lesion in the RV inflow coarser and stronger... Ventricular septal defects of little impact do not result in any patients are treated in childhood and very uncommonly in adulthood... These defects result which causes the ventricle to divide into two parts – a proximal and a distal part... are frequently associated with ventricular septal defects (80% of cases).

Show MeSH
Related in: MedlinePlus