Adult with congenital heart defect (Part 1 of 2)
added by Emmel
Adult with congenital heart defect (Part 1 of 2)
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Added: 16-10-2011
Runtime: 0m 16s
Views: 2971
Comments: 2 Current Rating:
(1 Votes)
Runtime: 0m 16s
Views: 2971
Comments: 2 Current Rating:
(1 Votes)
Description
about 50 y old patient with septic shock. A genetic defect is known. There exists no documents of clinical history. In Part 1 you can see the transthoracal echocardiography: we could see an ASD, a VSD. There is no sign of AV-canal or a stenosis of the pulmonary valve. Furthermore we see a distinct hypertrophy of the right cavum (about 14-15 mm; by comparison with the left ventricular: 12-13 mm).
about 50 y old patient with septic shock. A genetic defect is known. There exists no documents of clinical history. In Part 1 you can see the transthoracal echocardiography: we could see an ASD, a VSD. There is no sign of AV-canal or a stenosis of the pulmonary valve. Furthermore we see a distinct hypertrophy of the right cavum (about 14-15 mm; by comparison with the left ventricular: 12-13 mm).
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Comments: 0
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From: magehana47
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Thanks a lot for comment!
You´re absolutely right! This patient
has a trisomy 21. But we weren´t under the impression that there is a
AVSD after TEE. In TEE we couldn´t detect a splitting of the anterior
(superior) bridging leaflet and we found no attachment of the anterior
leaflet to the ventricular septum by chordae tendineae. Overall we had
no indications for AVSD. But you´re right, in that vid it looks like
AVSD.
Could these images be from a Down's syndrome patient?
It
appears to be a left-dominent Rastelli type A looking at the implant
of the bridging leaflet(appears to be attached to chordae implanted on
the LV side of the Septum).