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Dynamic Right Ventricular Outflow Tract Obstruction in Straight Back Syndrome
Jeet Ram Kashyap1, Suraj Kumar1, Sreenivas Reddy1
1Department of Cardiology, Government Medical College and Hospital, Chandigarh, India.
JACC. Case Reports
|July 28, 2021
Summary
Straight back syndrome, a spinal abnormality, can cause dynamic right ventricular outflow tract obstruction. This case highlights a 29-year-old woman experiencing chest pain and murmur due to this condition.
Area of Science:
- Cardiology
- Orthopedics
- Medical Imaging
Background:
- Straight back syndrome is a congenital spinal deformity affecting the upper thoracic region.
- This condition can lead to atypical presentations mimicking cardiac issues.
- Dynamic right ventricular outflow tract obstruction (RVOTO) is a significant cardiac complication.
Purpose of the Study:
- To present a clinical case of a young woman with straight back syndrome.
- To illustrate the association between straight back syndrome and dynamic RVOTO.
- To emphasize the importance of considering skeletal abnormalities in cardiac diagnoses.
Main Methods:
- Clinical case presentation.
- Echocardiography for cardiac assessment.
- Review of relevant literature on straight back syndrome and RVOTO.
Main Results:
- A 29-year-old female presented with atypical chest pain and a changing cardiac murmur.
- Echocardiography revealed dynamic right ventricular outflow tract obstruction.
- The findings were attributed to the patient's underlying straight back syndrome.
Conclusions:
- Straight back syndrome can manifest with cardiac symptoms due to dynamic RVOTO.
- Echocardiography is crucial in diagnosing RVOTO in patients with spinal deformities.
- Interdisciplinary evaluation is important for managing complex cases involving skeletal and cardiac abnormalities.
Keywords:
AP/L, antero-posterior/lateral diameterRVOT, right ventricular outflow tractechocardiographymurmurright ventricleMore Related Videos
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