case_images: PMC10225960_01
case_images: ECG of the patient showing regular sinus rhythm, with right atrial enlargement, and right ventricular hypertrophy.
case_images: 10.1177_11795476231176713-fig1.jpg
case_images: PMC10225960_01_10.1177_11795476231176713-fig1.jpg
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case_images: An electrocardiogram (Figure 1) showed a regular sinus rhythm at 74 bpm, with right atrial enlargement and right ventricular hypertrophy.
case_images: (a, b) Four-chamber trans-thoracic echocardiogram of the patient showing secundum ASD and right heart strain.
case_images: 10.1177_11795476231176713-fig2.jpg
case_images: PMC10225960_01_10.1177_11795476231176713-fig2.jpg
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case_images: An echocardiogram (Figures 2 and 3) revealed secundum ASD = 4.1 cm with left to right shunting and pulmonary flow to that of systemic flow (Qp/Qs) ratio of 1.7/1.
case_images: Tricuspid valve regurgitant spectral Doppler of the patient showing the tricuspid regurgitant maximum pressure gradient (TR maxPG) of 40.37 mmHg.
case_images: 10.1177_11795476231176713-fig3.jpg
case_images: PMC10225960_01_10.1177_11795476231176713-fig3.jpg
case_images: fig3-11795476231176713
case_images: An echocardiogram (Figures 2 and 3) revealed secundum ASD = 4.1 cm with left to right shunting and pulmonary flow to that of systemic flow (Qp/Qs) ratio of 1.7/1.
case_images: (a and b) Still frames from 4-chamber cine axial MRI of the heart showing atrial septal defect in the 32-year-old man.
case_images: 10.1177_11795476231176713-fig4.jpg
case_images: PMC10225960_01_10.1177_11795476231176713-fig4.jpg
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case_images: Magnetic resonance imaging (MRI) scan of the heart (Figure 4) confirmed the ASD.
case_images: MRI of the brain: (a) axial FLAIR showing left thalamic hyperintensity, (b) axial FLAIR showing minimal bilateral subcortical white matter hyperintensity, and (c) axial T2 showing chronic cerebellar infarct.
case_images: 10.1177_11795476231176713-fig5.jpg
case_images: PMC10225960_01_10.1177_11795476231176713-fig5.jpg
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case_images: Figure 5 shows MRI of the brain; (a) axial FLAIR showing left thalamic hyperintensity, (b) axial FLAIR showing minimal bilateral subcortical white matter hyperintensity, and (c) axial T2 showing chronic cerebellar infarct.