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    Resting 2-D Echocardiography / Doppler Echocardiography Report

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    Army Setia Kusuma
    1. The patient underwent a resting 2D echocardiogram and Doppler echocardiogram which found a secundum atrial septal defect (ASD) measuring 7-9mm with a clear shunt seen. 2. Examination also found a dilated right atrium and ventricle, mild-moderate tricuspid regurgitation, and mild pulmonary regurgitation. Estimated pulmonary artery systolic pressure was 91 mmHg. 3. The conclusion was secundum ASD with a high probability of pulmonary hypertension and mild pericardial effusion without signs of cardiac tamponade. Further tests such as HRCT, CTPA, V/Q scan and right heart catheter

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    Resting 2-D Echocardiography / Doppler Echocardiography Report

    Uploaded by

    Army Setia Kusuma
    36 views1 page
    1. The patient underwent a resting 2D echocardiogram and Doppler echocardiogram which found a secundum atrial septal defect (ASD) measuring 7-9mm with a clear shunt seen. 2. Examination also found a dilated right atrium and ventricle, mild-moderate tricuspid regurgitation, and mild pulmonary regurgitation. Estimated pulmonary artery systolic pressure was 91 mmHg. 3. The conclusion was secundum ASD with a high probability of pulmonary hypertension and mild pericardial effusion without signs of cardiac tamponade. Further tests such as HRCT, CTPA, V/Q scan and right heart catheter

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    1. The patient underwent a resting 2D echocardiogram and Doppler echocardiogram which found a secundum atrial septal defect (ASD) measuring 7-9mm with a clear shunt seen. 2. Examination also found a dilated right atrium and ventricle, mild-moderate tricuspid regurgitation, and mild pulmonary regurgitation. Estimated pulmonary artery systolic pressure was 91 mmHg. 3. The conclusion was secundum ASD with a high probability of pulmonary hypertension and mild pericardial effusion without signs of cardiac tamponade. Further tests such as HRCT, CTPA, V/Q scan and right heart catheter

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    36 views1 page

    Resting 2-D Echocardiography / Doppler Echocardiography Report

    Uploaded by

    Army Setia Kusuma
    1. The patient underwent a resting 2D echocardiogram and Doppler echocardiogram which found a secundum atrial septal defect (ASD) measuring 7-9mm with a clear shunt seen. 2. Examination also found a dilated right atrium and ventricle, mild-moderate tricuspid regurgitation, and mild pulmonary regurgitation. Estimated pulmonary artery systolic pressure was 91 mmHg. 3. The conclusion was secundum ASD with a high probability of pulmonary hypertension and mild pericardial effusion without signs of cardiac tamponade. Further tests such as HRCT, CTPA, V/Q scan and right heart catheter

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 1

    RSUP. Dr. Hasan Sadikin No.

    Registry : ECHO/12/2021
    INSTALASI PELAYANAN JANTUNG No.Med-Rec : 0001433880
    Unit Diagnostik Non Invasive Date : 2/12/2021
    Jl. Pasteur No. 38 Bandung T.B : 155 cm
    Telp. 022-2034953 s/d 2034955 Psw.3341 B.B : 50 kg
    Machine : T8
    Poli / Ruang : CICU
    RESTING 2-D ECHOCARDIOGRAPHY / DOPPLER ECHOCARDIOGRAPHY REPORT
    NAME : Mrs. Tina Gustiani SEX : Female AGE : 31 yo Sat O2 : 97% on NRM 8lpm
    ADDRESS : Buah Batu, Bandung
    REFF. DOCTOR : dr. Charlotte J. Cool, SpJP (K)
    OPERATOR : dr.Andi/dr.Farian/dr.Helmi/dr. Charlotte J Cool, Sp.JP (K)
    CLINICAL DIAGNOSTI: Secundum ASD, Balance shunt + history of RV thrombus
    RESTING ECHOCARDIOGRAPHY ( NORMAL VALUES )
    Aorta Root : 23 mm ( 20 - 37 mm )
    Left Atrium : 24 mm ( 15 - 40 mm )
    LA / AO ratio : 1.04 ( < 1.3 )
    Right Ventricle Basal : 65 mm ( <42 mm )
    Left Ventricle IVSD : - mm ( 7 - 11 mm )
    IVSS : - mm
    L V E Dd : - mm ( 35 - 55 mm )
    L V E Sd : - ###mm ( 25 - 36 mm )
    P W Dd : - mm ( 7 - 11 mm )
    P W Sd : - mm
    EDV : - ml ( M:111+22 F:80+12 ml )
    ESV : - ml ( M: 34+12 F:29+10 ml )
    SV : - ml ( 70 - 100 ml )
    LVEF : - % ( 53 - 77 % )
    FS : - % ( > 25 % )
    LV mass index : - gram/mm2 ( M : 76 + 13 gram/m2 )
    RWT : -
    EF 4 ch : 78 %
    Segmental analysis : Paradoxial septal movement
    Wall motion score :>1
    Valvar Tricuspid : mild-moderate TR
    Pulmonal : Mild PR (PHT 455ms)
    Mitral : Normal anatomy
    Aorta : 3 cusps, calcification (-)
    Doppler : TR Vma: 4.5 m/s TVG : 82 mmHg
    PVAccT : 163 m/s
    AoVmax: 1.2 m/s
    LV diastolic function : Peak E : 0.70 m/s
    Peak A : 1.00 m/s
    E/A : 0.70
    DT : 318 ms
    E/E' Med : 6 m/s
    E/E' Avg. : 9.0 m/s
    E/E' Lat. : 9.0 m/s
    LAVI 4 c: 13 mL/m2
    TAPSE : 20 mm
    IVC Diameter Max. // Min. : 16/8 mm Collapsibility Index : 50%
    Estimated RA Pressure : 10 cmH2O
    RA Area : 18 cm2
    PASP : 91 mmHg
    RVSP : 92 mmHg
    FAC : 41 %
    Others : No SEC, Mild Pericardial effusion mainly at posterior LV 0.2-0.5mm (previously 0.2-0.3mm), RA RV collapse (-),
    MIV <25%, TIV <35%, No Thrombus, coronary sinus 9 mm, Mc Connel sign (-), 60/60 sign (-/-)
    CO 4.6 L/min; CI 3.16 L/min/m2; SV 41 mL/beat; SVI 28 mL/beat/m2; SVR 922 dynes.sec.cm-5 on support
    vascon 0,2 mcg/kb/min and dobutamine 5mcg/kg/min
    Findings : Situs solitus, AV-VA concordance
    All PV drain to LA
    Secundum ASD 7-9mm, shunt clearly seen
    Intact IVS
    No PDA
    Dilated RA, RV, smallish D shaped LV
    Normal LV systolic function with paradoxical septal movement
    Normal LV diastolic function
    Normal RV contractility
    mild-moderate TR, mild PR
    Dilated and confluence PA, MPA diameter 48 mm, RPA 23 mm, LPA 21 mm
    Left Ao Arch, CoA (-)

    Conclusion : Secundum ASD, susp Balance shunt


    High probability of PH
    Mild pericardial effusion without sign of cardiac tamponade

    Suggestion : 1. HRCT, CTPA, V/Q scan


    2. RHC
    3. Dentist consultation for oral hygiene and infection control
    dr. Charlotte. J. Cool, SpJP (K)

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