Male 14 years old Reason: Partial anomalous pulmonary venous drainage and sinus venosus ASD History: Asymptomatic CARDIAC FUNCTION \T\ MORPHOLOGY:Heart size is normal. LV wall motion, thickness and thickening are normal.RV myocardium wall thickness is normal with no dysfunction. No evidence of VSD.Patent ASD AORTA MEASUREMENTS: aortic valve ring: 14.5 mmsinuses of Valsalva: 25.8 mmsinotubular junction: 15.2 mmascending aorta: 15.7 mmaortic arch: 20 mmdescending aorta: 17.5 mmdiaphragmatic hiatus: 15.5 mmPULMONARY ARTERY MEASUREMENTS:MAIN: 25.4 mmRIGHT: 19 mmLEFT: 18 mmLeft VentricleThe left ventricle is normal in size. The overall LV ejection fraction is 47.3%, the LV end diastolic volume index is 77 ml/m2 (normal range: 74+/-15), the LVEDV is 130.89 ml (normal range 142+/-34), the LV end systolic volume index is 40.6 ml/m2 (normal range 25+/-9), the LVESV is 69.02 ml (normal range 47+/-19), the LV mass index is 64.43 g/m2 (normal range 85+/-15), and the LV mass is 109.54 g (normal range 164+/-36). There are no regional wall motion abnormalities present. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.Left AtriumThe left atrium is normal in size. The right upper pulmonary veins connects to the superior vena cava.Right VentricleThe right ventricle is normal in size. The overall RV ejection fraction is 61.4%, the RV end diastolic volume index is 135.20 ml/m2 (normal range 82+/-16), the RVEDV is 229.96 ml (normal range 142+/-31), the RV end systolic volume index is 52.11 ml/m2 (normal range 31+/-9), and the RVESV is 88.68 ml (normal range 54+/-17). Right AtriumThe right atrium is normal in size. Question of 6 mm. ASD noted. Aortic ValveThe aortic valve opens widely. There is no significant dephasing inferior to the aortic valve to suggest significant aortic regurgitation. Dedicated through plane imaging of the aortic valve was not performed.Mitral ValveThe mitral valve opens widely. There is no significant mitral regurgitation. Dedicated through plane imaging of the mitral valve was not performed.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation visualized. Dedicated through plane imaging of the pulmonic valve was not performed.Tricuspid ValveThe tricuspid valve opens widely. There is no significant tricuspid regurgitation visualized. Dedicated through plane imaging of the tricuspid valve was not performed.AortaThe ascending thoracic aorta is normal in size. There is a left sided aortic arch.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 pericardial thickening or effusion.Extracardiac Findings: No focal lung opacities, effusions or pneumothorax. Partial visualization of solid organs and hollow viscus of the upper abdomen are normal.
1. Partial abnormalities pulmonary venous return of the right upper pulmonary vein connecting to the SVC with possible ostium secundum type atrial septal defect.2. Dilation of the right ventricle with volume over flow.Dr. Peter Varga was present during the elaboration of this report and agrees with the findings.