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Triphasic Mitral and Tricuspid Flows: A Sign of Diastolic Dysfunction in a Young Patient With Severely Dilated Atria and Giant Pulmonary Veins

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Abstract

This report presents a case with severe dilation of both atria and giant pulmonary veins manifested with atrial fibrillation. The following cardiac magnetic resonance findings are highly suggestive of restrictive physiology: E/A ratio greater than two, prominent A wave across the pulmonary veins and inferior vena cava, and more interestingly, a triphasic flow across the mitral and tricuspid valves.

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Authors and Affiliations

  1. Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, ON, M5G 1X8, Canada

    Marcelo Felipe Kozak, Majied Alariefy, Joel A. Kirsh & Shi-Joon Yoo

  2. Department of Diagnostic Imaging, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada

    Shi-Joon Yoo

Authors
  1. Marcelo Felipe Kozak
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  2. Majied Alariefy
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  3. Joel A. Kirsh
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  4. Shi-Joon Yoo
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Correspondence to Shi-Joon Yoo.

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Kozak, M.F., Alariefy, M., Kirsh, J.A. et al. Triphasic Mitral and Tricuspid Flows: A Sign of Diastolic Dysfunction in a Young Patient With Severely Dilated Atria and Giant Pulmonary Veins. Pediatr Cardiol 34, 1979–1981 (2013). https://doi.org/10.1007/s00246-012-0521-3

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  • DOI: https://doi.org/10.1007/s00246-012-0521-3

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