Dr. Usman's Cardiology Notes

 Atrial Septal Defect (ASD) Device Closure: A Comprehensive Overview Case Presentation: A 25-year-old female patient presented with complaints of shortness of breath on exertion and palpitations for the past 6 months. She had no significant past medical history and was not taking any medications. Physical Examination: - Vital signs: Blood pressure 120/80 mmHg, pulse rate 90 beats per minute, oxygen saturation 98% on room air. - Cardiovascular examination: Revealed a systolic ejection murmur at the left upper sternal border, with fixed splitting of the second heart sound. - Chest examination: Clear lungs, no peripheral edema. Diagnostic Tests: - Electrocardiogram (ECG): Showed sinus rhythm with right axis deviation and incomplete right bundle branch block. - Chest X-ray: Revealed cardiomegaly with increased pulmonary vascular markings. - Transthoracic echocardiogram (TTE): Demonstrated a secundum atrial septal defect (ASD) with left-to-right shunting, right ventricular enlargement, ...

Fluoroscopy showing Bileaflet tilting disc mechanical prosthesis and sternotomy wires At which position the device have been deployed? What is your diagnosis? Its in Mitral position and there is Mechanical Prosthetic Valve Malfunctioning (possible causes include Pannus, Thrombosis and Disc impingment)