Case 6 / 2015 – A 27-Year-Old Male Patient with Double Aortic and Pulmonary Valve Lesion after Double Valvotomy in Childhood

Laboratory tests:

Electrocardiogram showed normal sinus rhythm and signs of left anterior hemiblock, with no chamber overload, and normal ventricular repolarization. PA: +20º, QRSA: -60º, TA: +40º. QRS complex duration was 0.11″, PR = 0.16″ and QTc = 0.45″ ().

Chest radiograph showed moderately enlarged cardiac silhouette due to enlarged atrial and ventricular arches; the pulmonary vascular network was normal. Cardiomegaly progressed since the surgical correction, and the current cardiothoracic ratio was 0.58 ().

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