Membranous septal aneurysm causing severe tricuspid regurgitation and ring-like appearance
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Dosyalar
Tarih
2005
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aneurysm of the ventricular septum is a mechanism for spontaneous closure of ventricular septal defect. Also, it was considered as a benign condition; some valvular dysfunction and a source of systemic emboli might occur associated with aneurysm formation which is associated with VSD.1,2 Here, we report a patient with interventricular septal aneurysm causing severe tricuspid regurgitation and unique “ring-like” appearance associated with perimembranous VSD. A healthy looking female infant on day 10 of life was referred to our Cardiology clinic for echocardiographic evaluation. There was a grade of 3/6-ejection systolic murmur audible most prominent at the right sternal border. During routine neonatal examination chest x-ray and ECG were normal. An echocardiogram revealed defect which was 10 mm in diameter in the left ventricular membranous septal region. Left to right shunting was detected by color flow and spectral Doppler study and Qp/Qs was equal to 1. Any associated structure or significant tricuspid insufficiency was not disclosed. The patient was re-evaluated 1 year later. Echocardiography showed a free-floating circular image within the right ventricle with “ring-like” appearance just located below the tricuspid valve and severe tricuspid regurgitation associated with this image (Fig. 1A and 1B). Inferior Vena Cava was plethoric and peak RV systolic pressure was calculated as 85 mmHg. Multiple parasternal long–short axis, apical four-chamber and modified assessments revealed that the circular image was a cross section of an aneurysm formation associated with a membranous VSD (Fig. 1B and 1C). This is the first case to our knowledge causing this appearance and severe tricuspid regurgitation
Açıklama
Anahtar Kelimeler
Tricuspid, Echocardiography, Heart Aneurysm
Kaynak
Echocardiography
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
22
Sayı
10
