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67 Possible Causes for Bounding Pulse, Diastolic Murmur, Tetralogy of Fallot

  • Patent Ductus Arteriosus

    The PDA in tetralogy of Fallot with pulmonary atresia (ToF-PA) arises, in the left aortic arch, from underneath the arch and connects to the proximal left pulmonary artery[ncbi.nlm.nih.gov] In that case, typically, precordial activity is increased and peripheral pulses are bounding.[emedicine.medscape.com] In patients with a large left-to-right shunt, a low-pitched mitral mid-diastolic murmur may be audible at the apex.[medicaljoyworks.com]

  • Congenital Aortic Insufficiency

    It is often associated with other pathologies like: interatrial septum defect, tetralogy of Fallot, pulmonary valve stenosis or ventricular septal defect.[ncbi.nlm.nih.gov] Case 2 A 20-year-old asymptomatic Chinese boy was found to have grade 3/6 diastolic murmur at the left sternal border.[cardiothoracicsurgery.biomedcentral.com] This leads to a strong and forceful pulse (bounding pulse). Over time, the heart becomes less able to pump blood to the body.[wexnermedical.osu.edu]

  • Acute Aortic Regurgitation

    […] of Fallot - Eisenmenger's syndrome Right: pulmonary and tricuspid valves pulmonary valves ( stenosis, insufficiency ) - tricuspid valves ( stenosis, atresia ) - Ebstein's[wikidoc.org] This is the one with the widened pulse pressure, bounding pulses, de Musset's sign, etc.[forums.studentdoctor.net] Early closure of the mitral valve, weak first heart sound, tall A wave of apexcardiogram, and early diastolic murmur indicated acute aortic regurgitation.[ncbi.nlm.nih.gov]

  • Coarctation of the Aorta

    Tetralogy of Fallot and coarctation of the aorta is an exceptional association.[ncbi.nlm.nih.gov] The quality of the pulses in the arms and the legs is also different, with bounding pulses in the arms and weak or absent pulses in the legs.[circ.ahajournals.org] The presence of a systolic-diastolic murmur (systolic murmur and diastolic murmur) so called a to-and-fro murmur, is not a continuous murmur, being different, by separating[ncbi.nlm.nih.gov]

  • Congenital Heart Disease

    Here we discuss an infant with tetralogy of Fallot with absent pulmonary valve, fetal hydrops, and a 3.76 Mb de novo contiguous gain of 9q34.2-q34.3 detected by CMA, and confirmed[ncbi.nlm.nih.gov] Bounding pulses in arms and decreased pulses in legs. Surgical repair usually required between 2 and 4 years of age.[aafp.org] The aim of this paper was to present a 65 year old female patient with chronic heart disease, surgically treated for congenital heart defect type Tetralogy of Fallot.[ncbi.nlm.nih.gov]

  • Mitral Valve Atresia

    Tetralogy of Fallot with Absent Pulmonary Valve This is an uncommon variation of tetralogy of Fallot. The pulmonary valve leaflets are represented by nubbins of tissue.[pedcard.rush.edu] Cardiovascular examination during pregnancy Due to Pregnancy Tachycardia Dilated neck veins Bounding pulses, dynamic precordium Third heart sound Systolic murmur (1–26) Basilar[glowm.com] Clinical examination classically reveals a malar flush ('mitral facies') due to cutaneous vasoconstriction, and a mid-diastolic murmur that is heard on praecordial auscultation[radiopaedia.org]

  • Acyanotic Congenital Heart Disease

    […] of Fallot.[ncbi.nlm.nih.gov] murmur loud pan-systolic murmur heard throughout precordium -- radiates to axilla collapsing pulse, displaced apex, soft early diastolic murmur left sternal edge 6 common[cram.com] […] pressure  collapsing or bounding pulse Chest X-ray & ECG - Usually normal unless the PDA is large and symptomatic - Features seen are indistinguishable from VSD - Duct should[slideshare.net]

  • Ruptured Sinus of Valsalva Aneurysm

    A combination of ruptured sinus of Valsalva (RSOV) aneurysm with tetralogy of Fallot (TOF) is a very rare condition.[ncbi.nlm.nih.gov] pulses and a continuous murmur.[invasivecardiology.com] On auscultation, a grade 4/6 early diastolic murmur was heard over the left lower sternal border and Erb's area with a thrill.[ncbi.nlm.nih.gov]

  • Aneurysm of Sinus of Valsalva

    Associated congenital anomalies included ventricular septal defect in 21, tetralogy of Fallot in 1, and pulmonary stenosis in 1.[ncbi.nlm.nih.gov] Bounding pulses occur as a result of aortic runoff into lower-pressure chambers.[chdbabies.com] Auscultation revealed a normal cardiac rhythm, with a II/IV systolic and a diastolic murmur and normal second heart sound.[revespcardiol.org]

  • Aorto-Left Ventricular Tunnel

    Le Gloan L, Mongeon FP, Mercier LA, Dore A, Marcotte F, Ibrahim R, Asgar A, Miro J, Poirier N, Khairy P (2013) Tetralogy of Fallot and aortic root disease.[link.springer.com] pulses indicate rapid aortic run-off.[ncbi.nlm.nih.gov] After detection of a systolic–diastolic murmur in the 2nd month of life, cross sectional echocardiography and colour flow mapping confirmed an aorto-ventricular tunnel.[heart.bmj.com]

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