Hypoplastic left heart syndrome physical examination
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Differentiating Hypoplastic left heart syndrome from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S.[2], Cafer Zorkun, M.D., Ph.D. [3], Keri Shafer, M.D. [4]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S.[5]
Overview
A physical examination is an integral part of diagnosing hypoplastic left heart syndrome. During a routine visit, a doctor may find signs of right ventricle enlargement, presence of additional birth defects, and hemodynamic imbalances.
Physical examination
During a physical examination, a clinician may find:
- ECG shows enlargement of the right ventricle
- X-ray of the chest may show signs of other birth defects
- A need for an echocardiogram to further determine enlargement of the ventricles
- A need for cardiac catheterization to better map potential hemodynamic imbalances
Associated cardiac abnormalities
- Anomalous pulmonary venous connection
- Coarctation of the aorta
- Complete atrioventricular canal
- Coronary artery abnormalities (especially in patients with aortic atresia and mitral stenosis)
- Persistent left superior vena cava
- Endocardial fibroelastosis (especially in patients with aortic atresia and mitral stenosis)