third page of oshea ayesa penetrante's 2d echo result

11. Ldtt Ventricie ヽ4orphoiclgy 匿 M｀ ■ 1 - ― ― ―― ―― ― ― ‐ ― INは勲師 r軸学 s I… … 1‐ ―一― l AO睫 :。 S鱚綺0面 s l「 ………………… _ ― ― 1 1 lA。轟c vttve 貯 rolalDse/ Resttrgit3tlorl OT轟覆 RS 1餞 c「 Fτnal PAノ LV LV LV LV 昼癬 Ю 山 L Э ttκ 臨鐸 Falized l―rldocaldi3:Fibroelastosi事 abllo臓愉 81r浅賎 scie band 嗜盆 : :申鷺 1策舞 |ミ群 :金懇 :華 ` Sttp篭覇錘撃鷲■9響議t峰業幸す y. ||■ ●CO藤藤轟畿‡悪羹覇 I AV● じ t驚 ow 甲11畔朧 EI Apwi臓む Ow Couけ 3o of Arch/ A職辱ゆ∴ Ao羹 :o人聡れム諄委 orlltalitte3 AV A白瞼購 :験s 電 .0凛鰺:『醜傘疑惑 :攀購 s 奪瓢眈凸豪 :'fT i鼈鰈 :ザタヽ /asc懸 :Rr Fili9 1 匿 Fus:on :Ottteド s NO「ma1 3bdOlltin31 31ヽに 13 Apex on the ie■ 3ide oF i1le chest C● 成geiiital tteart Bise,te intact irlteratri/‐ i and il‐ 19日 /entricular septae No自 ― t,,ckened ao「 t,ci v摩 ive alld sen鶯 :tima「 vetve Prolallse of ariterior rtl:tra:valve loaflet int(ュ lo資atFit:rtt ёり ril‐ 1 3yStOle、 AFith thickじ red subv81var operatioa l.Foduc:腱 9r凛に rai rolり「事 :tatio`1, mo礫 erate、は Foで ,ア % Lttt atrial e自 :grきさ lll● 資、 lea velltri紙 1lar hytteltroplly Cood ri9hi vent「 icie 3rtO let vent「 ict:lar tystolic fttliction N● rrlal p懸 1:rlo賤 8「 ya戯 ery pttessure by PAT Lo■3itled ao員 ic arctl 国 o「田毬 :蔵 lht CO「 ● ne喧 /8蔵 e～ s:こむ LむたGoド゛ llary artel・ /seents t13 erise from tlle m8in puirnol-3澤 r ttrler/811い ouch cls竜 lurYl callllot lte visu″ :iど ,d 圭J整整聾型堕墜痙型壺盤整整 e「震 S : 「 INAL:譴 TttRPRttTAT:◎ N: 暉゛爾ge降 ,驚晟 1麟 ea戯齢Isesse To c滲焼 3id蠍ざA臓機織ょ :o嘘 s lett co『 o騰 aryょ雌像「 y=『 o朧the p嘲 `「絡⑬降 a鮮ソ議祠豫簾 y 闇 ,t群晟:F轍翻購簾 9i驚騒tiO駒 `lrtl・ t馨奪rate (■)輔ゞ゛颯融ぼ豪 i晟I co:Iat中ぽ籠 :↓ に卜 dll118/10 llouble ao戯 ic erch Witれ L86己 iC atth with RI Ao裁 ic Atth due lo 8わ crr8nt$賎わ ctaviall A and bilateral ttll畿「 :al dllct 酔 esc“ β 懸奪 Q 礁 1饉 : 豊質匿 :|■ 1.l pOttltlelntbro魔 oは 3 ■■ 3Uぎ苗む :島 onな EI¬ 麟 uscり lar・睡岬LT:けし駐 i Sほ o:~~‐ ~篇可 IT聯ふ面 i :Ves % 靱 ]響働 :認過オ堕鸞畿憮赫緋 … Abseot/At障面 a t i AV tty康 o自 lag Pro爆 pse:__… … RCC 滋 egじ l等酸 a態 on i ヽ /atve desc「 illtion: Si織鶴so∫ V麒 ∫ salva a鶴購。F;輸議::t71 :Aneuttstt without ruptuFe :Aneu町 3雌with rurtuFe 奪oro綺議静 yA"癬蒔es I X l NO日鷺 8:ly「 3:3ted Trr sposi懸 o靡 clF OA 壁妙毬 OnShir Ofム o戯 a with ttspect貯八: ・ 1斃感竃 it卜 1贔 Л [よ総醤 :。 Colllr楔 o餞Tttnk i__等 re l(oo離麟Cn寺面 91曖 of PA) _″ __type l:it● pa「 3te ttA o醐會 in) L舵劇Ⅷ 聡 :目核 :饗蛉 :Th嚢鉗痴3 軸 cl of Vatve3: X lLOぎ ξ a鱒れ,Le識撥 A R19晨 tA総れ ,Rりれ tOA Coarcta竜 :o自 di3t倉 l to$懸 bclaviarl :Ao Atth tttbulaF hypop13sia :Ao Atth民障轟 a(lhttus cord) じ o識Atth,樫崚 ht OA Å鐵RoRA s`瓶儡 Po膠鞭言 ettC電 o,懸麟

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Segmental Description and Final interpretation of Oshea's 2d echo result. The procedure was done at the Philippine Heart Center last November 17, 2010

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11. Ldtt Ventricie4orphoiclgy

M

1 -

INr sI 1

l AO:S0sl _ 1

1

lAc vttverolalDse/Resttrgit3tlorl

OTRS

1cFnal PA

LVLVLVLV

L ttFalizedlrldocaldi3:Fibroelastosiabllo81rscie band

: :1|::`Sttp

9ty.||CO

I AVtow

11EI ApwiOw

Cou3o of Arch/A

Ao:oorlltalitte3

AV A:s.0

::s

:'fT

i:

/asc:Rr Fili9

1 Fus:on:Otttes

NOma1 3bdOlltin31 3113Apex on the ie3ide oF i1le chestCgeiiital tteart Bise,teintact irlteratri/i and il19/entricular septaeNot,,ckened aot,ci vive alld sen:timavetveProlallse of ariterior rtl:tra:valve loaflet int(loatFit:rtt ril1 3yStOleAFith thickred subv81var operatioa l.Foduc:9rrai rol:tatio`1,moerateFo,%Lttt atrial e:grllllea velltri1lar hytteltropllyCood ri9hi venticie 3rtO let ventict:lar tystolic fttlictionNrrlal p1:rlo8yaery pttessure by PATLo3itled aoic arctlo:lht COne/8es:LGollary artel/seents t13 erise from tlle m8in puirnol-3r ttrler/811ouch clslurYl callllot lte visu:i,dJeS : INAL:TttRPRttTAT:N: ge,1eaIsesseTo c3idA:os lett cooaryy=othe p

`

ay ,t:F9itiO

`lrtltrate

() iI co:Iat:dll118/10

llouble aoic erchWitL86iC atthwith RI Aoic Atthdue lo 8crr8nt$ctaviall A and bilateral ttll:al dllct

escQ

1:

:|1.l pOttltlelntbroo33U:onEIusclarLT: iSo:~~

~ITi

:Ves %

]:Abseot/Ata t i AV ttyolag

Propse:__RCCeglaon i/atve descilltion:

SisoVsalva aF;::t71

:Aneuttstt without ruptuFe:Aneu3with rurtuFe

oroyA"es I

X l NO8:ly3:3ted Trr sposioclF OA

OnShir Ofoa with ttspect:1it1[:ColllroTttnk i__re l(ooCn91of PA)

___type l:itpa3te ttA oin)

L : :

:Th 3

cl of Vatve3:

X lLOa,LeAR19tA,RtOACoarcta:odi3tl to$bclaviarl:Ao Atth tttbulaF hypop13sia:Ao Attha(lhttus cord)

oAtth,ht OA

RoRA s` Po ettCo,