Case 4
A 39-year-old woman (height: 162 cm; weight: 57 kg) came to our hospital
for chest pain and chest tightness lasting for 4 days. She was diagnosed
with a congenital heart disease at birth but was not treated. Physical
examination on admission showed a temperature of 37.0℃, a pulse of 60
beats /min, a respiratory rate of 22 breaths/min, and a blood pressure
of 110/80 mmHg. Her New York Heart Association functional class was II.
Echocardiography showed the following: the heart was located in the left
thoracic cavity, the atriumwas in
the normal position, the positions
of the PA and the aorta were abnormal, the aorta had widened and moved
forward, and both the heart and PA started from the functional SV. A
tortuous tube with no echo was seen between the left PA and the
descending aorta, with a length of 15 mm. There was noventricular
septum,the internal diameter of the SV was 58.2 mm (Figure 4). CDFI
revealed thatthe regurgitation
area of the tricuspid valve orifice was 3.1 cm 2, the
flow rate was 4.1 m/s, and the PG was 66 mm Hg. The echocardiographic
diagnosis for this patient was congenital heart disease (SV, left
ventricular type, PHT, patent ductus arteriosus), and mild tricuspid
regurgitation. The patient was discharged after 4 days of symptomatic
treatment.