Aortic Regurgitation Case #4

A 24-year-old female presents with dyspnea and edema. She is noted to have a holosystolic murmur at the left lower sternal border as well as a short early diastolic murmur at the same location. An echocardiogram reveals the presence of a supracristal ventricular septal defect, or VSD. Which of the following explains the diastolic murmur?

A. Aortic regurgitation

B. Mitral stenosis

C. Cor triatriatum

D. Ebstein’s anomaly

E. Pulmonic regurgitation