case_images: PMC9279463_01
case_images: chest X-ray P/A view showing bulged pulmonary conus, cardiomegaly with CTR (cardiothoracic ratio) of 0.8 and pulmonary plethora
case_images: PAMJ-41-342-g001.jpg
case_images: PMC9279463_01_PAMJ-41-342-g001.jpg
case_images: F1
case_images: C and HIV screening) tests were normal. Chest X-ray revealed plethoric lung fields with prominent pulmonary conus and cardiomegaly with a cardiothoracic ratio of 0.80 (Figure 1).
case_images: a twelve-lead ECG showing LA enlargement, right ventricular hypertrophy and incomplete right bundle branch block (QRS duration is 116ms)
case_images: PAMJ-41-342-g002.jpg
case_images: PMC9279463_01_PAMJ-41-342-g002.jpg
case_images: F2
case_images: A twelve-lead electrocardiogram (ECG) showed left atrial (LA) enlargement, right ventricular hypertrophy and incomplete right bundle branch block (Figure 2).
case_images: PLAX view 2D ECHO picture showing sclerosed MV leaflets and subvalvular structure with hockey stick appearance of AMV, restricted MV opening and dilated RV
case_images: PAMJ-41-342-g003.jpg
case_images: PMC9279463_01_PAMJ-41-342-g003.jpg
case_images: F3
case_images: The ECHO image findings above are shown in Figure 3, Figure 4, Figure 5, Figure 6.
case_images: two-dimensional echocardiography (apical four-chamber view) showing large secundum ASD of 27mm, mild dilation of the left atrium, severe right ventricular and right atrial dilation
case_images: PAMJ-41-342-g004.jpg
case_images: PMC9279463_01_PAMJ-41-342-g004.jpg
case_images: F4
case_images: The ECHO image findings above are shown in Figure 3, Figure 4, Figure 5, Figure 6.
case_images: two-dimensional echocardiography (parasternal short axis view) showing mild mitral stenosis (MVA=3cm2 by planimetry) and bicommisural calcification of the MV
case_images: PAMJ-41-342-g005.jpg
case_images: PMC9279463_01_PAMJ-41-342-g005.jpg
case_images: F5
case_images: The ECHO image findings above are shown in Figure 3, Figure 4, Figure 5, Figure 6.
case_images: two-dimensional ECHO with colour doppler (apical four-chamber view) showing flow across the ASD and also severe mitral and tricuspid regurgitations
case_images: PAMJ-41-342-g006.jpg
case_images: PMC9279463_01_PAMJ-41-342-g006.jpg
case_images: F6
case_images: The ECHO image findings above are shown in Figure 3, Figure 4, Figure 5, Figure 6.