Clinicoradiological Session

Case 1/2014 – 24-Year-Old Man with Left Single Ventricle in Chronic Hypoxia

Complementary tests

Electrocardiogram showed sinus rhythm and signs of biatrial and left ventricle overloads. P wave was peaked in I, V2-5, and extended in II, F, V5-6, with negative deflection in V1 and V2. The QRS complex was of RS morphology in V1 and Rs in V6. AQRS: +120º, AT: -60º, AP: +40º.

Chest radiography showed an enlarged heart of mild degree (cardiothoracic ratio: 0.54) with left long ventricular arch and also a long left medium arch. The pulmonary vascular bed was increased ().

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