AMA Category 1 Credit for Physicians Only.
ASRT CME is not available.
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The echocardiographic findings are mild aortic insufficiency, a small right-to-left shunt, and a ventricular septal aneurysm (VSA),
A VSA is usually due to an old healed ventricular septal defect. A VSA can vary in size from very small to very large. A large VSA can cause RVOT outlet obstruction symptoms. A VSA is usually in the membranous portion of the interventricular septum.
Since VSA is small and the shunt is small, the recommendation is to leave the VSA alone unless obstructive symptoms occur or if the shunt become significant.
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