W
H T I
D I A AR E K R MAS ERENCE
E M AL ONF E T . SALI HA C 013 DR
&
S
A DH H A Y G RI L A
2
P X E
T R E
FOUR YEAR ASYMPTOMATIC BOY. REFERRED FOR EVALUATION OF HEART MURMUR
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WHAT IS THE DIFFERENTIAL DIAGNOSIS?
Aortic tunnel Sinus of Valsalva rupture Aortic Cusp perforation Coronary artery fistula Aortic root dissection
PLEASE SELECT ONE BEST ANSWER 1-Aorto-ventricular tunnel is: A) A component of known genetic disorder. B) In half of the cases it communicates with the right ventricle. C) Easley differentiated by echocardiography from ruptured sinus of valsalva. 2-One of the following is not echocardiographic feature of aorto-ventricular tunnel: A) Has systolic and diastolic flow. B) Classicaly has intra-myocardium course. C) The tunnel is best visualized in parasternal long axis view in TTE as well as TEE echocardiography.
5 MONTHS OLD DOWN SYNDROME, TAKEN TO OR FOR AVSD REPAIR.
AFTER REPAIR
REED THIS IMAGES BEFORE REPAIR
AFTER REPAIR
Inverted left atrial appendage Intracardiac thrombus Cardiac tumor
THREE MONTHS OLD CHILD PRESENTED WITH PICTURE OF CCF. TTE SHOWED DCM
CONTINUE…
CONTINUE….
AFTER SURGEON MANIPULATION