A shunt and more.

View archive
TEEIntraOpME4CVCFD
Short case presentation
68 y.o. female with history of SOB and DOE presented to the OR with the following measurements and loops:

ASD Diameter = 1.41 cm
ASD VTI = 57.3
TV Diameter = 3.76 cm
TV VTI = 21.7 cm or 12.0
TR PISA = 0.686 cm
TR VTI = 112 cm
TR Vmax = 2.86 m/sec
RVOT DIameter = 2.45 cm
RVOT VTI = 24.5 cm
AV VTI = 19.6 cm
LVOT Diameter = 1.56 cm
 

From the above values, what is the shunt in this patient. What is the mechanism of the TR. Should the patient just have the ASD fixed or should the TR be fixed also?