RT Book, Section
A1 Lastinger, Lauren
A2 Baliga, R. R.
A2 Lilly, Scott M.
A2 Abraham, William T.
SR Print(0)
ID 1160206095
T1 Intracardiac Shunts
T2 Color Atlas and Synopsis of Interventional Cardiology
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071749350
LK accesscardiology.mhmedical.com/content.aspx?aid=1160206095
RD 2024/04/20
AB A  28-year-old  woman  presents  to  her  obstetrician-gynecologist  (OB-GYN)  for  routine  management  of  her  first  pregnancy.  She  was  diagnosed  with  a  heart  murmur  at  age  2,  but  no  further  workup  was  done  at  that  time.  She  reports  occasional  palpitations  since  childhood,  especially  when  she  is  lying  down  or  stressed.  She  has  good  exercise  capacity  and  has  always  been  able  to  keep  up  with  her  peers.  After  hearing  a  murmur  on  exam,  her  OB-GYN  orders  an  echocardiogram,  which  shows  an  enlarged  right  atrium  and  right  ventricle,  mild  tricuspid  regurgitation,  mildly  elevated  right  ventricular  systolic  pressure,  and  a  possible  atrial  septal  defect  (ASD).  Cardiac  magnetic  resonance  imaging  is  performed  and  confirms  the  presence  of  a  secundum  ASD.  She  undergoes  right  heart  catheterization,  which  reveals  the  following  hemodynamics: