From the case:
Atrial septal defect
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/27640/annotated_viewer_json?lang=us"}
Cardiomegaly without upturned apex. Pulmonary hypertension and a large pulmonary trunk suggesting a large left to right shunt.
This patient had an ASD that was confirmed at echo. The size of the defect meant that surgery was required
From the case:
Atrial septal defect
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/27641/annotated_viewer_json?lang=us"}
Following surgery, the size of the heart has reduced significantly as has the size of the pulmonary trunk.
Case Discussion
Atrial septal defects (ASDs) vary in size and severity with the larger defects requiring surgical intervention.