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Elevated preprocedural CRP is not associated with increased risk for CI-AKI in patients undergoing PCI
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INTERESTING CASES
2D Echo
Case Title: 23 year old man with a history of congenital heart disease since a long time.
Case History: 23 year old man with a history of congenital heart disease since a long time. At 14 years of age he had patch closure of VSD, suture closure of ASD, placement of homograft conduit from pulmonary LV to main PA.But later at the age of 21 he had recurring atrial fibrillation with heart failure. Severe systemic tricuspid regurgitation was found. He was treated with sotalol, warferin, enalapril and digoxin.after this he resumed to his routine work full time and had only moderate exercise intolerance. He had restricted himself from foot ball and basket ball . He presents on this occasion with recurring atrial fibrillation. Medications: Amiodarone 200 mg daily, digoxin 0.125 mg daily, enalapril 30 mg daily, coumadin (target INR 2-3).


Click on the image to view movie/enlarged image
2D Echo showing the apical view.The morphologic right ventricle functioning as systemic ventricle is seen on right side and is hypertrophied. The apical displacement of the systemic tricuspid valve which appears displastic and myxomatous. The morphologic left ventricle seen on the left of the screen is normal systolic function. Click here to view movie
Apical 4 chamber view:shows the failure or coarctation of systemic AV valve. Click here to view movie
Apical 4 chamber color doppler:There is severe systemic AV valve regurgitation with a broad jet of color completely filling the Left atrium. Click here to view movie
Sub costal color doppler view:There is turbulent antigrade and retrigrade flow inticutive of both stenosis and regurgitation. Click here to view movie
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