Parasternal short-axis view demonstrating two pulsatile cavities

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A 71-year-old male with a known history of chronic obstructive airway disease and poor adherence to inhaler therapy presented with a gradual worsening of dyspnea.

A chest X-ray demonstrated hyperinflated lung fields, widening of the mediastinum, and cardiomegaly. His electrocardiogram (ECG) showed sinus rhythm with poor R-wave progression and pathological Q waves in the inferior leads.

Transthoracic echocardiography revealed severe ischemic left ventricular dysfunction, and two pulsatile cavities were visualized in the parasternal short-axis view.

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Parasternal short-axis view demonstrating two pulsatile cavities

Parasternal short-axis view demonstrating two pulsatile cavities

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Authors

Madushanka G.1, Wijethunge N.1, Karunarathne C.1, Premarathne S.1
  1. National Hospital Galle, Galle, SRI LANKA

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