Presentation
Atrial septal defect and shortness of breath
Patient Data
Age: 70 years
Gender: Female
From the case:
Eisenmenger syndrome
Frontal
Chest X-ray showing cardiomegaly and pruning of pulmonary arteries, compatible with Eisenmenger syndrome.
Case Discussion
Left to right shunts such as atrial septal defect, ventricular septal defect, and patent ductus arteriosus, cause increased pulmonary blood flow. With time, high pulmonary vascular resistance will develop, ultimately causing right to left shunt.
Chest x-ray shows dilation of central pulmonary arteries and pruning of peripheral pulmonary arteries, right ventricular, and atrial enlargement. Left heart would return to normal size.
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