Patent foramen ovale.
A 42-year-old white man with good exercise tolerance comes in for a follow-up appointment. He had a transthoracic echocardiogram (TTE) to evaluate an apical systolic murmur heard on routine physical examination. TTE shows mild to moderate mitral regurgitation with normal function. A slightly enlarged right atrial and ventricular cavity size prompted a micro-cavitation study which is positive for an intracardiac shunt.
Agrawal
Mayank
M
Department of Medicine, Central Arkansas Veterans Healthcare System, University of Arkansas for Medical Sciences, USA.
Smith
Eugene S
ES
D000328:Adult; D004452:Echocardiography; D054092:Foramen Ovale, Patent / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D033162:Incidental Findings; D008297:Male