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- heart defects
- congenital
- diagnostic imaging
- echocardiography
- computed tomography angiography
- cardiac catheterisation
Clinical introduction
A young man in his 20s presented with acute onset right-sided chest pain and dyspnoea. The patient had tachycardia, tachypnoea and markedly decreased breath sounds on the right side. The oxygen saturation was 95%. Other physical and cardiovascular examination was unremarkable. The patient had never been evaluated for any cardiorespiratory illness in the past. The chest radiograph showed right-sided pleural effusion with an underlying mass lesion. Tube thoracostomy was done and confirmed haemothorax.
Question
Contrast-enhanced CT and contrast echocardiography were performed (figure 1). What is the diagnosis?
Investigations: (A) chest radiograph; (B) contrast-enhanced CT of the chest; and (C) saline contrast echocardiography.
Atrial septal defect.
Primary pulmonary hypertension.
Partial anomalous pulmonary venous connection.
Pulmonary arteriovenous malformation.
Answer: D
The …
Footnotes
Contributors All authors contributed to design, data collection, draft preparation and review.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.
Provenance and peer review Not commissioned; internally peer reviewed.