Cor Triatriatum
Age: 31 Gender: Female Occupation: Salesperson Working diagnosis: Palpitations HISTORY The patient was first noted to have a murmur at age 6 years. The murmur was felt to be a…
Erythrocytosis with Normal Oxygen Saturation
Age: 27 years Gender: Female Working diagnosis: Down syndrome HISTORY The patient has Down syndrome and was suspected to have cardiac disease shortly after birth. Echocardiography, however, showed only a…
Atrial Septal Defect Associated with Pulmonary Hypertension—Cause and Effect
Age: 32 years Gender: Female Occupation: Nurse’s assistant Working diagnosis: Atrial septal defect with pulmonary arterial hypertension HISTORY The patient was well until 10 years ago (22 years old) when…
Left Atrioventricular Valve Regurgitation: Criteria for Intervention
Age: 30 years Gender: Female Occupation: Mother Working diagnosis: Atrioventricular septal defect HISTORY As a child, the patient was diagnosed with a partial AVSD (ostium primum ASD). Corrective surgery was…
Straddling of the Tricuspid Valve: Long-Term Outcome
Age: 36 Gender: Female Occupation: Office clerk Working diagnosis: Severe tricuspid valve regurgitation HISTORY The patient presented in early infancy with dyspnea and failure to thrive. Cardiac catheterization and angiography…
Outflow Tract Obstruction after Atrioventricular Septal Defect Repair
Age: 35 Gender: Female Occupation: Hairdresser Working diagnosis: Repaired atrioventricular septal defect HISTORY The patient was diagnosed at birth with an intermediate AVSD. At age 3 she underwent repair of…
Anticoagulation in a Pregnant Patient with a Mechanical Valve
Age: 31 years Gender: Female Occupation: Nurse Working diagnosis: Repaired atrioventricular septal defect HISTORY The patient had an AVSD diagnosed in infancy and repaired in childhood. By age 6, however,…
Catheter Closure of Ventricular Septal Defects
Age: 57 years Gender: Female Occupation: High school teacher Working diagnosis: Muscular ventricular septal defect HISTORY The patient was evaluated for a heart murmur during pregnancy 20 years prior to…
Long-Term Follow-Up of Atrioventricular Septal Defect
Age: 58 Gender: Female Occupation: Professional gardener Working diagnosis: Repaired partial atrioventricular septal defect HISTORY The patient was well until her mid-20s, when she noted progressive shortness of breath. Workup…
Ventricular Septal Defect and the Aortic Valve
Age: 23 years Gender: Male Occupation: College student Working diagnosis: Aortic regurgitation, after closure of outlet ventricular septal defect HISTORY The patient was born uneventfully at term, but at 18…
