PMC6875355_01
Chest X-ray P/A view showing bulged pulmonary conus, cardiomegaly, and prominent right pulmonary artery.
CRIC2019-9402987.001.jpg
PMC6875355_01_CRIC2019-9402987.001.jpg
fig1
As our patient was being investigated for her illness, her chest X-ray revealed cardiomegaly with RV type apex, pulmonary conus was full and bulged, and right pulmonary artery was dilated (Figure 1).
PLAX view 2D echocardiogram picture showing dilated RV and restricted MV opening.
CRIC2019-9402987.002.jpg
PMC6875355_01_CRIC2019-9402987.002.jpg
fig2
2D echocardiogram-guided planimetry showing MVA is 1.24 cm2.
CRIC2019-9402987.003.jpg
PMC6875355_01_CRIC2019-9402987.003.jpg
fig3
Mitral valve planimetry showed the mitral valve area (MVA) was 1.24 cm2 with thickened calcified mitral valves and mild subvalvular changes (Figure 3).
The A4CV showing RA and RV dilated compromising a left-sided heart view and ASD measuring 17.38 mm.
CRIC2019-9402987.004.jpg
PMC6875355_01_CRIC2019-9402987.004.jpg
fig4
There was an atrial septal defect measuring 17.38 mm in the apical 4 chamber view (A4CV) (Figure 4) and 13.43 mm in the subcostal view.