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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

Case History :

A 24-year-old female had a Waterston shunt as an infant and a left Blalock-Taussig shunt at the age of 5 and then later at the age of 13 had a Glenn procedure with division of the right pulmonary artery. Currently she has mild dyspnoea on exertion but is comfortable on routine work and is not currently on any medications. Apparently she is mildly cyanotic with clubbing her oxygen saturation about 92% at rest.

On examination her Pulse is 72/ min and her B.P. is 110/76 mmHg. The precordium has a mildly displaced apex .On auscultation the heart sounds were normal and a ejection click was present with an continuous murmur.

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Investigation Reports :

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Discussion :

This 24-year-old woman has had a Waterston shunt, a left Blalock-Taussig shunt, and a classic Glenn shunt performed. Her echo shows AV concordance with VA discordance. Her systemic right ventricle shows grade 1-2 function. A large VSD and a smaller ASD are seen. The mitral valve is stradding. Since she is doing as well as can be expected, no changes were made in her management.

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