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We know a small ASD decompresses mitral stenosis, and the combination of ASD and MS, Lutembacher, is a well-known syndrome called Lutembacher. Curious minds might ask, can’t we decompress LV it self by creating a small VSD. The concept of LA flow regulator or decompressor came from this. Probably in the thin membranous area.
The Y descent is shallow in tricuspid stenosis, and absent in cardiac tamponade. Right atrial hypertrophy as in tricuspid stenosis, pulmonary stenosis and pulmonary hypertension. But in a VSD with pulmonary hypertension A wave is not prominent. X descent, X prime descent and Y descent.
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