RSUP. Dr. Hasan Sadikin No.

Registry : ECHO/12/2021
INSTALASI PELAYANAN JANTUNG No.Med-Rec : 0001433880
Unit Diagnostik Non Invasive Date : 2/12/2021
Jl. Pasteur No. 38 Bandung T.B : 155 cm
Telp. 022-2034953 s/d 2034955 Psw.3341 B.B : 50 kg
Machine : T8
Poli / Ruang : CICU
RESTING 2-D ECHOCARDIOGRAPHY / DOPPLER ECHOCARDIOGRAPHY REPORT
NAME : Mrs. Tina Gustiani SEX : Female AGE : 31 yo Sat O2 : 97% on NRM 8lpm
ADDRESS : Buah Batu, Bandung
REFF. DOCTOR : dr. Charlotte J. Cool, SpJP (K)
OPERATOR : dr.Andi/dr.Farian/dr.Helmi/dr. Charlotte J Cool, Sp.JP (K)
CLINICAL DIAGNOSTI: Secundum ASD, Balance shunt + history of RV thrombus
RESTING ECHOCARDIOGRAPHY ( NORMAL VALUES )
Aorta Root : 23 mm ( 20 - 37 mm )
Left Atrium : 24 mm ( 15 - 40 mm )
LA / AO ratio : 1.04 ( < 1.3 )
Right Ventricle Basal : 65 mm ( <42 mm )
Left Ventricle IVSD : - mm ( 7 - 11 mm )
IVSS : - mm
L V E Dd : - mm ( 35 - 55 mm )
L V E Sd : - ###mm ( 25 - 36 mm )
P W Dd : - mm ( 7 - 11 mm )
P W Sd : - mm
EDV : - ml ( M:111+22 F:80+12 ml )
ESV : - ml ( M: 34+12 F:29+10 ml )
SV : - ml ( 70 - 100 ml )
LVEF : - % ( 53 - 77 % )
FS : - % ( > 25 % )
LV mass index : - gram/mm2 ( M : 76 + 13 gram/m2 )
RWT : -
EF 4 ch : 78 %
Segmental analysis : Paradoxial septal movement
Wall motion score :>1
Valvar Tricuspid : mild-moderate TR
Pulmonal : Mild PR (PHT 455ms)
Mitral : Normal anatomy
Aorta : 3 cusps, calcification (-)
Doppler : TR Vma: 4.5 m/s TVG : 82 mmHg
PVAccT : 163 m/s
AoVmax: 1.2 m/s
LV diastolic function : Peak E : 0.70 m/s
Peak A : 1.00 m/s
E/A : 0.70
DT : 318 ms
E/E' Med : 6 m/s
E/E' Avg. : 9.0 m/s
E/E' Lat. : 9.0 m/s
LAVI 4 c: 13 mL/m2
TAPSE : 20 mm
IVC Diameter Max. // Min. : 16/8 mm Collapsibility Index : 50%
Estimated RA Pressure : 10 cmH2O
RA Area : 18 cm2
PASP : 91 mmHg
RVSP : 92 mmHg
FAC : 41 %
Others : No SEC, Mild Pericardial effusion mainly at posterior LV 0.2-0.5mm (previously 0.2-0.3mm), RA RV collapse (-),
MIV <25%, TIV <35%, No Thrombus, coronary sinus 9 mm, Mc Connel sign (-), 60/60 sign (-/-)
CO 4.6 L/min; CI 3.16 L/min/m2; SV 41 mL/beat; SVI 28 mL/beat/m2; SVR 922 dynes.sec.cm-5 on support
vascon 0,2 mcg/kb/min and dobutamine 5mcg/kg/min
Findings : Situs solitus, AV-VA concordance
All PV drain to LA
Secundum ASD 7-9mm, shunt clearly seen
Intact IVS
No PDA
Dilated RA, RV, smallish D shaped LV
Normal LV systolic function with paradoxical septal movement
Normal LV diastolic function
Normal RV contractility
mild-moderate TR, mild PR
Dilated and confluence PA, MPA diameter 48 mm, RPA 23 mm, LPA 21 mm
Left Ao Arch, CoA (-)

Conclusion : Secundum ASD, susp Balance shunt

High probability of PH
Mild pericardial effusion without sign of cardiac tamponade

Suggestion : 1. HRCT, CTPA, V/Q scan

2. RHC
3. Dentist consultation for oral hygiene and infection control
dr. Charlotte. J. Cool, SpJP (K)