Article Text

PDF
Dyspnoea on exertion in a 15-year-old boy
  1. Rakesh Jain,
  2. Kader Muneer,
  3. Sajeev C G
  1. Department of Cardiology, Government Medical College, Calicut, Kerala, India
  1. Correspondence to Dr Rakesh Jain, Department of Cardiology, Government Medical College, Calicut 673008, Kerala, India; dr_rkjain123{at}yahoo.co.in

Statistics from Altmetric.com

Clinical Introduction

A 15-year-old male patient presented with dyspnoea on exertion for 6 months. He had no significant medical history. His blood pressure and pulse rate were within normal limits. Cardiac auscultation revealed a grade 4/6 (Levine scale) high-frequency pansystolic murmur over the cardiac apex conducting to left axilla as well as to base of the heart. Haematological and biochemical evaluation including 12-lead ECG were within normal limits. Chest X-ray showed mild cardiomegaly. Transthoracic echocardiography (TTE) with colour Doppler imaging was done (figure 1).

Figure 1

(A) Transthoracic echocardiography (TTE) with colour Doppler, apical four chamber view, (B) 2D TTE, parasternal short axis view and (C) TTE with colour Doppler, parasternal short axis view.

Question

Which of the following is the most likely diagnosis?

  1. Complete atrioventricular canal defect …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.