Endocardial Cushion Defect

N C Joshi
Endocardial Cushion Defect - Presentation
- 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.

Cardiac findings of complete endocardial cushion defects

Endocardial Cushion Defect Endocardial Cushion Defect 01/17/2001
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