No.

Registry :
No.Med-Rec :
Date :
T.B :
B.B :
Machine :
Poli / Ruang :
RESTING 2-D ECHOCARDIOGRAPHY / DOPPLER ECHOCARDIOGRAPHY REPORT
NAME : SEX : Female AGE : 23 Sp O2 : 96% room air
ADDRESS :

RESTING ECHOCARDIOGRAPHY ( NORMAL VALUES )

Aorta Root : 26 mm ( 20 - 37 mm )
Left Atrium : 39 mm ( 15 - 40 mm )
LA / AO ratio : 1.54 ( < 1.3 )
Right Ventricle Basal : 47 mm ( <42 mm )
Left Ventricle IVSD : 9 mm ( 7 - 11 mm )
IVSS : 12 mm
L V E Dd : 35 mm ( 35 - 55 mm )
L V E Sd : 21 mm ( 25 - 36 mm )
P W Dd : 12 mm ( 7 - 11 mm )
P W Sd : 21 mm
EDV : 52 ml ( M:111+22 F:80+12 ml )
ESV : 15 ml ( M: 34+12 F:29+10 ml )
SV : 37 ml ( 70 - 100 ml )
LVEF : 72 % ( 53 - 77 % )
FS : 40 % ( > 25 % )
LV mass index : 101.3 gram/mm2 ( M : 76 + 13 gram/m 2
)
( F : 66 + 11 gram/m2 )
RWT : 0.69
EF Biplane : 76 % ( M : 52-72 / F : 54-74 )
Segmental analysis : D-shaped LV, paradoxical septal movement
Wall motion score : >1
Valvar Tricuspid : Trivial TR
Pulmonal : Trivial PR
Mitral : Trivial MR
Aorta : 3 cusps, calcification (-)
Doppler : TR Vmax : 3.2 m/s ( < 2,8 m/s )
TVG : 48 mmHg ( )
: PVAccT : 122 ms ( 110 - 160 ms )
: AoVmax : 1.75 ms ( < 2,5 m/s )
LV diastolic function : Peak E : 0.9 m/s ( )
Peak A : 0.7 m/s ( ) Hemodynamic
E/A : 1.3 ( 0,75 - 1,5 ) CO : 3.1 L/min
DT : 152 ms ( > 140 ms ) CI : 2.4 L/min/m2
E' Med : 13 cm/s ( ≥ 7 cm/s ) SV : 41 mL/beat
E/E' Avg. : 22 cm/s ( <10 ) SVI : 32 mlL/beat/m2
E' Lat. :5 cm/s ( ≥ 10 cm/s ) SVR: 1290 Dynes.sec.cm-5
LAVI : 32 mL/m2 ( 16-34 mL/mm2 )
TAPSE : 26 mm ( ≥ 17 mm )
IVC Diameter Max. // Min. : 21 mm/ 9 mm
Collapsibility Index : 57 %
Estimated RA Pressure : 10 mmHg ( 3 - 7 mmHg )
RA Area : 26.7 cm2 ( ≤18 )
PASP : 50.96 mmHg ( < 35 )
FAC : 60 % ( > 35% )
Pericardial Effusion : Mild pericardial effusion ( 7 mm) at posterior
RA RV collapse (-)
Coronary Sinus Diameter :8 mm ( 6-14 mm )
SEC : None
Thrombus : None

Findings : Situs solitus, AV-VA concordance

All PV drain to LA
Secundum ASD diameter 18 - 22 mm, left to right shunt
Intact Interventricular septum
No PDA
Dilated RA, RV, D-shaped LV
Normal LV systolic function with paradoxical septal movement
LV diastolic Dysfunction (+)
Normal RV systolic function
Mild TR
Dilated and confluence PA, MPA diameter 28 mm, RPA diameter 17 mm, LPA diameter 13 mm
Left Ao Arch, CoA (-)

Conclusion : Secundum ASD bidirectional mainly left to right shunt

High probability of PH (suggestive worsened by pulmonary problem)
Mild pericardial effusion at posterior without echo sign of tamponade

Suggestion : RHC standby closure

Contraception