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ASD in an 11-year-old child - Image


This child was referred for investigation of an easily rising pulse under strain. ECG and chest radiograph show no signs of cardiac loading nor had the murmur been detected earlier. On auscultation a quiet systolic flow murmur is heard in the pulmonary area. It resembles the physiological sound but is longer and pansystolic. The second heart sound is clearly and constantly split. The finding is well depicted on the phono- and spectrograms. Echocardiography showed a 13 x 8 mm secundum-type ASD. Pulmonary artery flow velocity was 1.7 m/s, that of aorta 0.9 m/s. Because the ASD secundum murmur is caused by increased pulmonary artery flow, the sound is sometimes difficult to distinguish from the physiological sound. In such cases attention should be paid on the possible splitting of the second heart sound. After this investigation this child was referred for corrective surgery. Age 11.3 years. Area of auscultation: left second ic (LIC2).

ASD in an 11-year-old child

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"ASD in an 11-year-old Child - Image." Evidence-Based Medicine Guidelines, Duodecim Medical Publications Limited, 2019. Evidence Central, evidence.unboundmedicine.com/evidence/view/EBMG/452588/all/ASD_in_an_11_year_old_child___Image.
ASD in an 11-year-old child - Image. Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited; 2019. https://evidence.unboundmedicine.com/evidence/view/EBMG/452588/all/ASD_in_an_11_year_old_child___Image. Accessed April 24, 2019.
ASD in an 11-year-old child - Image. (2019). In Evidence-Based Medicine Guidelines. Available from https://evidence.unboundmedicine.com/evidence/view/EBMG/452588/all/ASD_in_an_11_year_old_child___Image
ASD in an 11-year-old Child - Image [Internet]. In: Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited; 2019. [cited 2019 April 24]. Available from: https://evidence.unboundmedicine.com/evidence/view/EBMG/452588/all/ASD_in_an_11_year_old_child___Image.
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TY - ELEC T1 - ASD in an 11-year-old child - Image ID - 452588 BT - Evidence-Based Medicine Guidelines UR - https://evidence.unboundmedicine.com/evidence/view/EBMG/452588/all/ASD_in_an_11_year_old_child___Image PB - Duodecim Medical Publications Limited DB - Evidence Central DP - Unbound Medicine ER -