A 29 year old woman with a childhood history of an unrepaired congenital heart defect now reports progressive dyspnea and cyanosis. Examination shows digital clubbing and a loud P2. Hemoglobin is 19.2 g/dL. Echocardiography demonstrates severe pulmonary hypertension and reversal of a longstanding left to right shunt. Which of the following is the most likely diagnosis?
- A)Patent ductus arteriosus
- B)Eisenmenger syndromeGABARITO
- C)Coarctation of the aorta
- D)Ventricular septal defect
- E)Atrial septal defect
Explicação
Eisenmenger syndrome is correct. Longstanding left to right shunting increases pulmonary blood flow and eventually causes irreversible pulmonary vascular remodeling and pulmonary arterial hypertension. Once right sided pressures exceed left sided pressures, sh... Ver explicação completa e trilha adaptativa →