Ventricular Septal Defect Masquerading as Severe Tricuspid Regurgitation: A Case Report and Literature Review

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 atria...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 1998-01, Vol.15 (1), p.73-76
Main Authors: Richards, David R., Colon, 3rd, Percy J., Ochsner, John L., Cheirif, Jorge
Format: Article
Language:English
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Summary: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.
ISSN:0742-2822
1540-8175
DOI:10.1111/j.1540-8175.1998.tb00580.x