A 20-year-old male patient presented with complaints of palpitations and exertional breathlessness. On examination, he had a heart rate of 64 beats per minute, blood pressure of 100/70 mmHg, and a grade 5/6 pansystolic murmur heard best over the left parasternal area. An ECG showed right ventricular hypertrophy and right axis deviation. An echocardiogram confirmed the diagnoses of a ventricular septal defect and double chambered right ventricle.

1. Dr.N.Idhayachandran. Prof.Dr.S.SUNDAR. M 2 UNIT.

2. A 20 year old male patient was admitted with the complaints of palpitation and exertional breathlessness. O/E conscious,oriented,afebrile,comfortable at rest,not pale,not icteric,no cyanosis,no clubbing,no pedal edema. PR-64/min. BP-100/70 mm Hg.

3. CVS-Apical impulse left 5 th intercostal space medial to the midclavicular line. Systolic thrill felt with maximum intensity over the left parasternal area. No palpable P2 or parasternal heave. On auscultation pansystolic murmur heard with maximum intensity over the left parasternal area.grade 5/6.conducted to other areas.P2 not loud.no other murmurs heard. Examination of other systems-normal.

5. ECG Pulse-64/min. Sinus rhythm. PR interval 130 ms. QRS duration 80 ms. Right axis deviation 120 degree. P wave morphology normal. Right ventricular hypertrophy.

6. ECHO-PARASTERNAL LONG AXIS VIEW

11. APICAL FOUR CHAMBER VIEW

17. DIAGNOSIS Ventricular septal defect. Double chambered right ventricle.

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