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Ventricular Septal Defect Masquerading as Severe Tricuspid Regurgitation
Author(s) -
RICHARDS DAVID R.,
COLON PERCY J.,
OCHSNER JOHN L.,
CHEIRIF JORGE
Publication year - 1998
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.1998.tb00580.x
Subject(s) - regurgitation (circulation) , cardiology , medicine , shunt (medical) , right ventricular hypertrophy , pulmonary hypertension , hemodynamics , doppler echocardiography , ventricular function , blood pressure , diastole
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.