CT Case 041
A 40-year-old male presents with light-headedness and fever. Cardiac history including coarctation and VSD repair and bioprosthetic AVR
Tag VSD
Crochetage sign
Characteristic R wave notching seen in inferior leads in a large proportion of patients with ostium secundum ASD
Roger’s murmur
Roger’s murmur: holosystolic, loud murmur compared to the sound of a 'rushing waterfall'. Associated with ventricular septal defects (VSD)
Shunts and Echocardiography
OVERVIEW can use bubble testing to ID calculate gradients if L->R shunt reverses due to pulmonary hypertension it is Eisenmenger syndrome Echo may not detect extra-cardiac shunts ASD patent foramen ovale (30% incidence in general population) ostium secundum ostium primum…