Eisenmenger syndrome

Case contributed by Alami Badreeddine


Fatigue and breathlessness on exertion

Patient Data

Age: 20 years
Gender: Female

Axial MDCT images in a patient with Eisenmenger syndrome shows:

  • large main PA
  • ventricular septal defect
  • right ventricular hypertrophy: wall thickness  > 4 mm

Case Discussion

Eisenmenger syndrome is a complication of an uncorrected high-flow, high-pressure congenital heart anomaly leading to chronic pulmonary arterial hypertension and shunt reversal.

The three lesions that account for most cases are:

  • ventricular septal defect (VSD)
  • atrioventricular septal defect (AVSD)
  • patent ductus arteriosus (PDA)

Cardiac imaging is useful in assessing for the presence of an intra-cardiac shunt.

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