Type I aortopulmonary window presenting with very early onset Eisenmenger's syndrome
| Autor: | Jayaranganath Mahimarangaiah, Navin Agrawal, Soumya Patra, Cholenhally Nanjappa Manjunath |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Pulmonary Artery Aortopulmonary window Article Diagnosis Differential Parasternal short axis view Arterio-Arterial Fistula medicine.artery Internal medicine medicine Humans Abnormalities Multiple business.industry General Medicine Eisenmenger Complex Parasternal heave medicine.disease Pulmonary hypertension Echocardiography Doppler Color Blood pressure Heart failure Child Preschool Pulmonary artery Cardiology Radiography Thoracic Radiology business |
| Zdroj: | BMJ case reports. 2014 |
| ISSN: | 1757-790X |
| Popis: | A 2-year-old child with a history of recurrent chest infection early in infancy presented with clubbing, cyanosis, oxygen saturation of 86% in room air, left parasternal heave, short ejection systolic murmur at left second space and loud pulmonary component of second heart sound suggestive of severe pulmonary hypertension. X-ray revealed cardiomegaly with pulmonary artery dilation and peripheral vasoconstriction (figure 1). Echocardiography revealed biventricular hypertrophy with moderate tricuspid regurgitation and pulmonary artery systolic pressure of 90 mm Hg. A large aortopulmonary (AP) window (1 cm) was demonstrated in the parasternal short axis view with bidirectional shunting (figures 2⇓–4, videos 1⇓–3). Cardiac catheterisation to assess for the reversibility of the … |
| Databáze: | OpenAIRE |
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