Atrioventricular septal defect physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Examination
Appearance
Poor physical development
Heart
Inspection:
- Hyperinflated thorax
- Bulging precordium
- Dominant v wave in the jugular venous pulse
Palpation:
- Systolic thrill
- Palpable impulse in the second and third intercostal space representing a dilated pulmonary artery
- Prominent heave at the left sternal border
Auscultation:
- Single first heart sound
- Soft fixed splitting o[[second heart sound
- Sytolic murmur on left lower sternal border
- Loud Pulmonic component of the second heart sound if pulmonary hypertension develops.
- A low-pitched early diastolic rumble may be heart at the lower left sternal border and is related to increased tricuspid valve flow.