Case 029 - A 22-Year-Old Female With Pulmonary Edema
A 22-year-old acyanotic female was admitted with pulmonary edema following a mountain hike. She reported that her exercise tolerance had always been below normal and that she had recurrent episodes of pneumonia and bronchitis during childhood and adolescence. At presentation, she had sinus tachycardia (heart rate 110 beats per minute). The ECG showed right axis deviation and notched "left atrial" p waves. A loud second heart sound and a soft systolic/diastolic heart sound were heard on auscultation.
What is the correct diagnosis?
View the correct answer.
<p>Cor triatriatum</p>
A 22-year-old acyanotic female was admitted with pulmonary edema following a mountain hike. She reported that her exercise tolerance had always been below normal and that she had recurrent episodes of pneumonia and bronchitis during childhood and adolescence. At presentation, she had sinus tachycardia (heart rate 110 beats per minute). The ECG showed right axis deviation and notched "left atrial" p waves. A loud second heart sound and a soft systolic/diastolic heart sound were heard on auscultation.
What is the correct diagnosis?
Congenital mitral stenosis
Congenital pulmonary vein stenosis
Left atrial aneurysm
Cor triatriatum
View the correct answer.
<p>Cor triatriatum</p>
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