A 14 year old young male experienced sudden syncope (episode of fainting) at dawn. Patient was referred for ECG/EKG which revealed Right Heart Strain. An Echocardiography was requested to investigate thefindings of ECG/EKG.
The Echocardiography findings revealed the following:
- RIGHT VENTRICLAR WALL HYPERTROPHY.
- NORMAL LEFT ATRIUM & LEFT VENTRCILE.
- SUSPECTED PFO.
- GOOD LV & RV SYSTOLIC FUNCTION, EF 62%.
- NORMAL DIASTOLC FUNCTION.
- MEMBRANOUS VSD(1.5cm) WITH AN OVERRIDING AORTA & A LEFT-RIGHT SHUNT.
- PRESENCE OF PULMONARY STENOSIS WITH TURUBLENT PULMONAY FLOW.
- NORMAL PERICARDIUM.
- NORMAL IVC.
- CONCLUSION.
- DILATED RIGHT SIDED CHAMBERS WITH PULMONARY STENOSIS, RVH, OVERRIDING AORTA & A MEMBRANOUS VSD
FEATURES CONSISTENT WITH TETRALOGY OF FALLOT.