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390 Possible Causes for Biventricular Hypertrophy, Branch Pulmonary Artery Stenosis, Systolic Thrill at Lower Left Sternal Border

  • Patent Ductus Arteriosus

    A large PDA may be associated with signs of biventricular hypertrophy (BVH) and in those with pulmonary hypertension, right ventricular hypertrophy (RVH) may be present.[patient.info] Shorter duration of palliation, aggravation of branch pulmonary artery stenosis resulting in poor growth and difficulty at surgery makes ductal stenting controversial.[ncbi.nlm.nih.gov] In the patient with a large ductus arteriosus and elevated pulmonary artery pressure, signs of right atrial enlargement and biventricular hypertrophy are frequently present[doi.org]

  • Ventricular Septal Defect

    With large VSDs the ECG shows biventricular hypertrophy (BVH) with or without LAH.[patient.info] 3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[msdmanuals.com] […] right ventricle, and severe pulmonary stenosis with confluent, moderate-sized branch pulmonary arteries, underwent an emergency right modified Blalock-Taussig shunt on day[ncbi.nlm.nih.gov]

  • Tetralogy of Fallot

    […] the muscular ventricular septum, obstruction of the right ventricular outflow tract, and right ventricular hypertrophy [ 2 ].[ncbi.nlm.nih.gov] Systolic thrill at the lower left sternal border. Aortic ejection click.[patient.info] Branch Pulmonary Artery Stenosis Either as part of TOF anatomy from birth but usually as a result of surgical shunts that were placed, the right and left pulmonary arteries[nationwidechildrens.org]

  • Atrial Septal Defect

    Biventricular cardiac hypertrophy and heart failure in the presence of a pre-existing atrial septal defect (ASD) are a rare association of primary aldosteronism.[ncbi.nlm.nih.gov] stenosis or otherwise increased resistance distal to compliant arterial segments.[dx.doi.org] hypertrophy.[ncbi.nlm.nih.gov]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Congenital Heart Disease

    Right ventricle is small and hypertrophied at 27 weeks, with tricuspid valve size 3 standard deviations below normal for gestational age.[emedicine.medscape.com] In women with pulmonary stenosis in the main or branch pulmonary arteries, supravalvular AS at the anastomotic site, neoaortic dilation, or aortic regurgitation or coronary[doi.org] The role of intervention is to promote right heart functional development and to improve the possibility of postnatal biventricular circulation (see the video below).[emedicine.medscape.com]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Acyanotic Congenital Heart Disease

    AR, Aortic regurgitation; ASD, atrial septal defect; BP, blood pressure; BVH, biventricular hypertrophy; CDG, congenital disorders of glycosylation; CHD, congenital heart[unboundmedicine.com] Physical Signs Systolic thrill at the lower and middle left sternal border Loud single S2 Loud systolic ejection murmur at the lower left sternal border With increasing right[rcemlearning.co.uk] […] arising from pulmonary artery Extracardiac PDA AP Window systemic AV fistula Pulmonary artery branch stenosis 77 Manish Chandra Prabhakar Differentiating similar murmurs[authorstream.com]

  • Left to Right Cardiac Shunt

    Auscultatory findings Harsh h olosystolic murmur over the left lower sternal border ; typically louder in small defects Mid- diastolic murmur over cardiac apex Systolic thrill[amboss.com] […] valve or annulus stenosis (80%) or atresia (20%), and hypoplasia of the main or branch pulmonary arteries to absence of the central pulmonary arteries.[cancertherapyadvisor.com] The RV outflow obstruction can be subvalvular, valvular, and/or supravalvular and may range in various combinations from infundibular narrowing (fixed or dynamic), pulmonary[cancertherapyadvisor.com]

  • Persistent Truncus Arteriosus

    hypertrophy Cardiomegaly Increased pulmonary vascularity Hypocalcemia (if associated with DiGeorge syndrome) The most well-known classification was the fourfold system developed[en.wikipedia.org] During follow-up (36-60 months, median 54 months), only one re-operation was required to enlarge a left branch pulmonary artery stenosis.[ncbi.nlm.nih.gov] hypertrophy Cardiomegaly Increased pulmonary vascularity Hypocalcemia (if associated with DiGeorge syndrome ) Treatment Treatment is with neonatal surgical repair, with the[ipfs.io]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Large Ventricular Septal Defect

    With large VSDs the ECG shows biventricular hypertrophy (BVH) with or without LAH.[patient.info] 3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[merckmanuals.com] With a moderate VSD, left ventricular hypertrophy (LVH) and occasionally left atrial hypertrophy (LAH) may be seen.[patient.info]

    Missing: Branch Pulmonary Artery Stenosis
  • Williams-Beuren Syndrome

    […] outflow tract obstruction with ventricular hypertrophy.[emedicine.medscape.com] We describe an eight-month-old female patient with Williams syndrome, supravalvular aortic stenosis, and branch pulmonary artery stenosis, with concomitant anomaly of severe[ncbi.nlm.nih.gov] Further evaluation of the patient showed major manifestations of Williams syndrome in form of supravalvar aortic stenosis, branched pulmonary artery stenosis along with cardiomyopathy[ncbi.nlm.nih.gov]

    Missing: Systolic Thrill at Lower Left Sternal Border