Presentation
Fatigue.
Patient Data
Age: 35 years
Gender: Female
From the case:
Secundum atrial septal defect
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Cardiomegaly.
Small aortic knuckle.
Enlarged pulmonary arteries and pulmonary plaeonaemia.
From the case:
Secundum atrial septal defect
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Large secundum ASD.
Dilated right atrium and dilated hypertrophic right ventricle.
Shunt 3:1.
Case Discussion
ASD causing left to right shunt and pulmonary hypertension.
Clinical signs of ASD are subtle, such as flow murmur and split second heart sound. Delayed presentation is relatively common.
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