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Pediatrics C.V.S. 8b04f3a0

Eisenmenger's syndrome--True are all except:

A
Pulmonary veins are not distended
B
RV and LV walls come back to normal size
C
Dilatation of central pulmonary artery
D
Peripheral pruning of pulmonary arteries
High-Yield Explanation
b. RV and LV walls come back to normal size(Ref: Nelson's 20/e p 2242, Ghai 8/e p 428)In Eisenmenger syndrome, irreversible pulmonary vascular obstructive changes occur;There is mainly pulmonary arterial hypertension, so pulmonary veins are not distendedBecause of pulmonary hypertension, right ventricular hypertrophy occursChest X Ray shows that pulmonary vessels are enlarged in the hilar areas and taper rapidly in caliber in the peripheral branches (peripheral pruning).

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