TY - CHAP M1 - Book, Section TI - Heart-Lung Transplantation A1 - Malik, Mahim A1 - Kilic, Ahmet A1 - Whitson, Bryan A. A2 - Baliga, R. R. A2 - Abraham, William T. Y1 - 2018 N1 - T2 - Color Atlas and Synopsis of Heart Failure AB - A 37-year-old woman is admitted to a hospital with progressive dyspnea on minimal effort, with significant worsening in the past 6 months. She states that she was diagnosed with heart murmur when she was 5 years old, but has had no treatment for it. She describes breathlessness, fatigue, and occasional presyncopal episodes. On examination she has dyspnea on exertion, 3+ bilateral lower extremity edema, ascites, and orthopnea. She has clubbing, tachypnea, mild right upper quadrant tenderness, and some bruising on her extremities. Chest x-ray demonstrates an enlarged pulmonary artery silhouette. Transthoracic echocardiogram demonstrates a large ventricular septal defect with right to left shunt, right ventricular (RV) enlargement, and an elevated estimated RV systolic pressure. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesscardiology.mhmedical.com/content.aspx?aid=1161019028 ER -