Complete Endocardial Cushion Defect (ECD) – Symptoms, Physical Examination
Last Updated : 1/7/2009
N C Joshi
- 30% of the defects occur in Down's syndrome
- Partial defects are usually asymptomatic
- Complete- CHF

Physical Examination:

- Undernourished
- Hyperactive precordium with holosystolic murmur at LLSB
- Loud P2, mid-diastolic rumble at the apex
- Liver enlargement

Figure 2: Cardiac findings of complete endocardial cushion defects(ECD), which resemble that of VSD. A systolic thrill may be present at the LLSB (dotted area), where the systolic murmur is the loudest.

Contributor Information and Disclosures

N C Joshi
Consultant Pediatrician, Nanavati Hospital, Mumbai

First Created : 1/17/2001
Last Updated : 1/7/2009


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