Case 3/2019 – Type IIB Tricuspid Atresia, in Natural Evolution, at 21 Years of Age

Clinical data

Patient remained asymptomatic from birth until 16 years of age, when he started to show progressive fatigue at exertion, with the use of anti-congestive medication such as furosemide, enalapril, spironolactone, and carvedilol, in addition to warfarin. The diagnosis of heart disease characterized by heart murmur was attained in the first month of life.

Physical examination: good overall status, eupneic, acyanotic, normal pulses in the 4 limbs. Weight: 63 kg, Height: 171 cm, right upper limb blood pressure: 130/90 mmHg, HR: 63 bpm, Sat O₂: 89%.

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