A 1-month-old child was screened in a public clinic, in the conclusion of an echocardiogram from the maternity hospital: a secondary atrial septal defect, valvular stenosis of the pulmonary artery with a gradient of 20 mm Hg, expansion of the right heart.
On the current ultrasound in the middle third of the interatrial septum, an oblique atrial septal defect up to 4 mm is visualized. In the projection of the pulmonary valve, a floating accessory tissue up to 7x5 mm in size is visualized, including a solid echostructure at the border with the aortic valve (differential diagnosis: vegetation / thromboembol, myxomatous degeneration, accessory tissue of the pulmonary valve, etc.), Vmax after PV up to 1,45 m/s, PGmax = 8.5 mmHg Pulmonary artery = 6-8mm (N 8-12 mm) 6mm in the area of accessory tissue. The right heart are not dilated.
