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Case 2 

Case 2
Chapter:
Case 2
Author(s):

Ellen Chung

DOI:
10.1093/med/9780199758968.003.0002
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date: 19 February 2019

9-year-old.

PA chest radiograph (left) shows a markedly enlarged, globular or box-shaped heart and decreased pulmonary vascularity.

The lateral view (right) shows the enlarged heart extending over the vertebral bodies (arrowhead).

Generally, decreased pulmonary blood flow is due to pulmonary outflow obstruction or tricuspid regurgitation. Simple tricuspid regurgitation and Uhl anomaly (absent right ventricular myocardium) should also be considered. Severe cardiac enlargement such as seen in this case is indicative of Ebstein anomaly....

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