Transthoracic echo findings throughout the patient’s course.
| Transthoracic echocardiography (TTE) occurrence | Findings | Systemic systolic pressure (mmHg) |
|---|---|---|
| Fourth pregnancy (three years prior) | Large secundum atrial septal defect (ASD) and severe pulmonary hypertension with an estimated right ventricular systolic pressure (RVSP) of 94 mmHg | 90–110 |
| Two weeks prior to admission at outside hospital | Estimated RVSP of 105 mmHg | 110 |
| On admission to intensive care unit (ICU) | Large ~2.4 cm ostium secundum ASD with intermittent right-to-left shunting, RVSP 80 mmHg, a severely dilated and hypertrophied right ventricle, severely decreased right ventricular function, and preserved left ventricular function | 95 |
SD: Conceptualization, Investigation, Methodology, Validation, Visualization, Writing—original draft, Writing—review & editing. JC: Conceptualization, Investigation, Methodology, Validation, Visualization, Writing—original draft, Writing—review & editing. DK: Conceptualization, Investigation, Methodology, Validation, Visualization, Writing—review & editing. MM: Conceptualization, Investigation, Methodology, Validation, Visualization, Writing—review & editing. CC: Conceptualization, Investigation, Methodology, Project administration, Supervision, Validation, Visualization, Writing—original draft, Writing—review & editing. All authors read and approved the submitted version.
The authors declare that they have no conflicts of interest.
Case studies are not overseen by our institutional IRB. No identifying pictures, no PHI used, and written consent was also obtained from the patient. To summarize, no ethical approval is needed due to the de-identified nature of this case report. And this study was in compliance with the Declaration of Helsinki.
Informed consent to participate in the study was obtained from all participants/ participants’ guardians.
Informed consent to publication was obtained from relevant participants.
The data of this manuscript could be available from the corresponding authors upon reasonable request (ccullom@llu.edu).
Not applicable.
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