Abstract
A 29-year-old man with history of atrial tachyarrhythmias and a remote Potts anastomosis for treatment of tricuspid atresia presented with palpitations and chest pain. His medications included digoxin, furosemide, prednisone, methimazole, and amiodarone. He was afebrile. His pulse was 176 beats per minute with a blood pressure of 160/80 mm Hg. He was cyanotic with clubbed fingers and toes. The apical impulse was displaced to the 6th intercostal space in the mid-axillary line. Auscultation revealed normal S1, single S2, and a short systolic murmur arising from the Potts shunt that was heard over the left precordium and back. No diastolic component was appreciated. Chest radiography revealed cardiomegaly …
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