Arch Cardiol Mex 2020 Dec 21. Epub 2020 Dec 21.
Department of Nuclear cardiology, National Institute of Cardiology Ignacio Chávez, Mexico City; Department of Echocardiography, ABC Medical Center, I.A.P, Mexico City, Mexico.
Female 23-year-old patient with heart murmur diagnosed in the first year of life. She attended to our institute with progressive dyspnea and palpitations of 7-month evolution. Physical examination showed perioral and distal cyanosis with digital clubbing, oxygensaturation of 79%, jugular plethora, arrhythmic heartsounds of upper limbs, fixed second heart sound, systolic tricuspid murmur, and edema. Read More