Case history
Case history #1
A 32-year-old woman with history of repaired tetralogy of Fallot in childhood presents with exertional dyspnea, easy fatigability, and nonexertional 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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