Ventricular Septal Defect Masquerading as Severe Tricuspid Regurgitation: A Case Report and Literature Review.
Two-dimensional echocardiography (2-D) is a useful technique for noninvasive evaluation cardiac structure, function, and hemodynamics; however, multiple factors may limit the technical adequacy of the 2-D examination. In this article, we present the case of a ventricular septal defect to right atrial shunt, which was misinterpreted as severe tricuspid regurgitation secondary to severe pulmonary hypertension, despite the absence of right ventricular enlargement or hypertrophy. A transesophageal echocardiography (TEE) examination was performed to explain the discrepancy between the 2-D and Doppler findings, the results of which are discussed, along with a review of the literature.
Richards
David R.
DR
North Texas Heart Center, 8440 Walnut Hill Lane S. 700, Dallas, TX 75231.
Colon
Percy J.
PJ
Ochsner
John L.
JL
Cheirif
Jorge
J