Asymptomatic young man with an incidental murmur

Heart
Maryam ShojaeifardGolnaz Houshmand

Abstract

A 32-year old man was referred to our institution for transthoracic echocardiography (TTE) following detection of an incidental murmur on physical examination before blood donation. He was asymptomatic with no significant medical history. Physical examination revealed dual heart sounds with a grade II/VI systolic murmur heard in the left sternal border. An ECG was in normal sinus rhythm. TTE was performed (figure 1A-C, online supplementary videos 1-4) followed by cardiac CT angiography (CTA) (figure 1D,E).heartjnl;104/15/1307/F1F1F1Figure 1(A) Transthoracic echocardiography, parasternal left ventricular long axis view. (B) Colour Doppler of modified short axis in the mid-left ventricular level. (C) Doppler flow velocity profile. (D) Cardiac CT angiography (CTA) sagittal reconstruction. (E) Three-dimensional CTA reconstruction of the heart. What is the diagnosis?Pericardial cyst.Ventricular septal defect.Kawasaki.Anomalous left coronary artery from pulmonary artery (ALCAPA).

References

Mar 5, 2002·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Michele A FrommeltSarita Bergstrom
Jun 15, 2010·JACC. Cardiovascular Imaging·Kibar YaredJudy Hung
Mar 31, 2017·Circulation·Brian W McCrindleUNKNOWN American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee of the Council on Cardiovascular Di
Jun 28, 2017·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Shivani G PatelJonathan W Cramer

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