Title:
Case of Supracristal Ventricular Septal Defect and Aortic Regurgitation Detected by Cardiac Auscultation but Missed by Diagnostic Imaging
Authors:
Karthik Seetharam, Roman Pachulski
Abstract:
Imaging technology has diminished the reliance on cardiac auscultation as a definitive diagnostic tool. However, it retains relevance in its immediacy, minimal preparation, and power source independence. We present a case of clinically detected continuous murmur raising specific diagnostic possibilities not accounted for advanced imaging. Further testing revealed a large supracristal ventricular septal defect (VSD) and aortic regurgitation (AR), allowing the surgeon to anticipate combined septal and valvular surgery. This report highlights the value of cardiac auscultation as a guide and validation for imaging. The absence of lesions on imaging is not proof of lesion absence.
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