Case history
Case history #1
A 32-year-old woman with history of repaired tetralogy of Fallot in childhood presents with exertional dyspnoea, easy fatigability, and non-exertional chest pain. On physical examination her jugular venous pressure is around 10 cm with prominent right ventricular anterior precordial lift. A short, low-pitched, grade 2/6 diastolic and a loud, grade 3/6 systolic murmur along the left sternal border are heard.
Case history #2
A 52-year-old woman with history of congenital pulmonic stenosis, for which she underwent open valvotomy at age 9, presents to the adult congenital heart disease clinic for a second opinion, after being followed by a general cardiologist for several years. She is asymptomatic and has excellent exercise capacity. Physical examination reveals no jugular venous distension. Auscultation reveals a short, low-pitched 2/6 diastolic and a loud 3/6 systolic murmur along the left sternal border.
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