TY - JOUR T1 - A 26-year-old man with severe right ventricular hypertrophy JF - Heart JO - Heart SP - 774 LP - 789 DO - 10.1136/heartjnl-2018-314123 VL - 105 IS - 10 AU - Jordan D Awerbach AU - Cary Ward AU - Michael J Campbell Y1 - 2019/05/01 UR - http://heart.bmj.com/content/105/10/774.abstract N2 - A 26-year-old man with a history of a perimembranous ventricular septal defect (VSD) was admitted to the orthopaedic service after sustaining a tibial fracture in a motor vehicle accident. He was lost to cardiology follow-up after age 10, at which time his echocardiogram demonstrated a restrictive VSD (gradient of 80 mm Hg across) and mild flow acceleration without obstruction through the right ventricular outflow tract (RVOT). Cardiac examination on admission was notable for a palpable RV lift and a harsh 3/6 systolic ejection murmur audible throughout the precordium. An echocardiogram was obtained, demonstrating new … ER -