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ASD Closure using a Fenestrated Figulla Device Under General Anesthesia and 3D TEE Guidance
139 views
March 13, 2014
History:
• 73 year old woman, Weight: 64 kgs, Height: 1.58 m
• Fatigue and ...
read more ↘ dyspnea on exertion for many years
• Hypertension
• On B blockers, ASA, Diuretics, Amlodipine
Physical Findings:
• BP: 150/90
• Mild systolic ejection murmur mid sternal border
• Fixed splitting of the 2nd heart sound with mildly increased pulmonary component
Pertinent Tests:
EKG:
• Sinus rhythm, RVH
Echo (TTE and TEE):
• Normal LV systolic fxn, LV hypertrophy, Abnormal LV diastolic fxn (relaxation), Increased RA and RV, RV systolic pressure estimated at 45-55 mmHg, ASD 19X15 mm shunting L-RCT/MR: CT/MR:
• Not performed
Catheterization (11/12):
• Normal coronary arteries; PAP: 50/20 (30); RA: 10; Ao: 140/90; LV: 140/18; Qp/Qs: 2.3
↖ read less
• 73 year old woman, Weight: 64 kgs, Height: 1.58 m
• Fatigue and ...
read more ↘ dyspnea on exertion for many years
• Hypertension
• On B blockers, ASA, Diuretics, Amlodipine
Physical Findings:
• BP: 150/90
• Mild systolic ejection murmur mid sternal border
• Fixed splitting of the 2nd heart sound with mildly increased pulmonary component
Pertinent Tests:
EKG:
• Sinus rhythm, RVH
Echo (TTE and TEE):
• Normal LV systolic fxn, LV hypertrophy, Abnormal LV diastolic fxn (relaxation), Increased RA and RV, RV systolic pressure estimated at 45-55 mmHg, ASD 19X15 mm shunting L-RCT/MR: CT/MR:
• Not performed
Catheterization (11/12):
• Normal coronary arteries; PAP: 50/20 (30); RA: 10; Ao: 140/90; LV: 140/18; Qp/Qs: 2.3
↖ read less
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