22-year-old female with a history of a of Tetralogy of Fallot for which she underwent a complete repair with preservation of the pulmonary valve annulus and subsequent pulmonary valve replacement. Left VentricleThe left ventricle is moderately dilated with normal systolic function. The overall LV ejection fraction is 56%, the LV end diastolic volume index is 102 ml/m2 (normal range: 65+/-11), the LVEDV is 180 ml (normal range 109+/-23), the LV end systolic volume index is 45 ml/m2 (normal range 18+/-5), the LVESV is 79 ml (normal range 31+/-10), the LV mass index is 56 g/m2 (normal range 67+/-11), and the LV mass is 98 g (normal range 114+/-24). There is a septal bounce consistent with right ventricular volume overload and previous sternotomy, otherwise normal LV wall motion. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. No intracavitary thrombus present. There is evidence of membranous VSD patch without evidence of shunt. Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is severely dilated mildly reduced systolic function. The overall RV ejection fraction is 40%, the RV end diastolic volume index is 139 ml/m2 (normal range 69+/-14), the RVEDV is 244 ml (normal range 110+/-24), the RV end systolic volume index is 83 ml/m2 (normal range 22+/-8), and the RVESV is 146 ml (normal range 35+/-13). Right AtriumThe right atrium is moderately to severely enlarged. Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve is thickened without significant mitral regurgitation.Pulmonic ValveThere is a bioprosthetic pulmonic valve in place. There is no significant pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is an eccentric jet of tricuspid regurgitation.AortaThere is a left sided aortic arch with a normal brachiocephalic branching pattern. The aortic root is normal in size.Pulmonary VeinsAll four pulmonary veins drain normally into the left atrium.Pulmonary ArteryThe main pulmonary artery is normal in size. Venous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium. PericardiumThere is no obvious pericardial disease.Extracardiac FindingsThere is persistent pectus excavatum deformity with a retrosternal to anterior vertebralmeasurement of 5 cm. There is evidence of sternotomy wires consistent with previous cardiac surgery. Th
1. The left ventricle is moderately dilated with normal systolic function. The overall LV ejection fraction is 56%2. The right ventricle is severely dilated with mildly reduced systolic function. The overall RV ejection fraction is 40%Compared to prior study of 3/22/2013, the right and left ventricular volumes and function are similar. 