Get answers to your heart disease prevention questions.
Small to moderate sized defects may produce no symptoms, or not until middle age or later. Symptoms that may occur can include:
The doctor may hear abnormal heart sounds when listening to the chest with a stethoscope. A murmur may be heard only in certain body positions, and sometimes a murmur may not be heard at all. The physical exam may also reveal signs of heart failure in some adults.
If the shunt is large, increased blood flow across the tricuspid valve may create an additional murmur when the heart relaxes between beats.
Tests that may done include:
Webb GD, Smallhorn JF, Therrien J, et al. Congenital heart disease. Zipes DP, Libby P, Bonow RO, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. St. Louis, Mo: WB Saunders; 2007:chap 61.
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