Severe Pulmonary Insufficiency (PI)

  • Atooshe Rohani
Part of the Clinical Cases in Cardiology book series (CCC)


This case is a common scenario following tetralogy of fallot repair in infancy, he was a 33 years old man presented with shortness of breath, found to have RV dilation and severe PI.


Tetralogy of fallot Severe pulmonary insufficiency RV dilation 

Supplementary material

Movie 29.1

Apical 4 chamber severe right ventricular enlargement (AVI 367 kb)


  1. 1.
    Zoghbi W, Adams D, Bonow R, Enriquez-Sarano M, Foster E, Grayburn P, et al. Recommendations for noninvasive evaluation of native valvular regurgitation a report from the American Society of Echocardiography developed in collaboration with the Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr. 2017;30(4):303–71.CrossRefGoogle Scholar
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    Yang H, Pu M, Chambers CE, Weber HS, Myers JL, Davidson WR Jr. Quantitative assessment of pulmonary insufficiency by Doppler echocardiography in patients with adult congenital heart disease. J Am Soc Echocardiogr. 2008;21(2):157–64.CrossRefGoogle Scholar
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    Jhaveri RR, Saric M, Kronzon I. Uncommon Doppler echocardiographic findings of severe pulmonic insufficiency. J Am Soc Echocardiogr. 2010;23(10):1071–5.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Atooshe Rohani
    • 1
  1. 1.Northern Ontario School of MedicineThunder BayCanada

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