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Previous Volume 332:1337 May 18, 1995 Number 20 Next

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Figure 1.

View larger version (47K): [in this window] [in a new window]   Figure 1. Transesophageal echocardiography was performed in a 23-year-old patient who presented with exertional dyspnea, fatigue, and palpitations. Cardiac auscultation revealed fixed splitting of the second heart sound and a short mid-diastolic murmur (grade 1/4) in the fourth left intercostal space parasternally. An rSR' pattern was present in precordial lead V1 on the electrocardiogram. Doppler studies showed a pulmonary–systemic flow ratio (QP/QS) of 2.3:1. The patient underwent successful surgical closure of the atrial septal defect.

 

Roberto M. Lang, M.D.
Richard H. Marcus, M.D.
University of Chicago
Chicago, IL 60637

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