WelcomeJuly 12, 2020    

Today's  Poll

Elevated preprocedural CRP is not associated with increased risk for CI-AKI in patients undergoing PCI
True False
Not Sure
Relateed Articles
2D Echo
Case Title: 3 year-old girl presented with history of heart murmur noted in infancy
Case History: A 3 year-old girl presented with history of heart murmur noted in infancy. The child had restricted activities but normal milestones. Cardiologist's opinion was sought at the age of 2 years, when an Echo was done and a provisional diagnosis of small ASD was made, and the child was advised to wait some years for surgery. On examination, the child is acyanotic, not dyspneic on routine activities, there was biventricular hypertrophy with loud P2, normal split and short systolic murmur in left 2nd interspace. ECG showed Biventricular hypertrophy, no RBBB. Chest X-ray showed features of pulmonary hypertension with dilated MPA.

Click on the image to view movie/enlarged image
PS SAX view showing large PDA with prominent pulmonary valve and mild reverse doming suggestive of dilated MPA with PAH. Click here to view movie
PS SAX view of the same case in color doppler showing PDA opening into LPA. Click here to view movie
Sub coastal view showing intact IAS and also bulging into the right atrium with evidence of dilated LA and LV. Click here to view movie
Turbulent flow from left lower pulmonary vein suggestive of obstructions. Click here to view movie