Left Axis Deviation in AV Canal Defect
Report:
Sinus rhythm 88/min
Left axis deviation –60o
Incomplete right bundle branch block
Comment:
Although morphologically indistinguishable from LAHB, the LAD in AV canal defects has different pathology. One should always suspect ostium primum ASD or other AV canal (endocardial cushion) defects (this girl had cleft mitral valve and a VSD repaired) in a young person with LAD.
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