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The left ventricle becomes D-shaped, which is a sign of increased preload in the right ventricle (RV) displacing the septum toward the left. Septal flattening is best appreciated in the short-axis view at the level of papillary muscles (basal or .
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D-shaped left ventricle (D-LV) is an interesting echocardiographic finding in pulmonary hypertension (PH) and is the result of structural distortion of the interventricular septum. The eccentricity index (EI) is a quantitative measure used to evaluate the severity of D-LV in patients with increased pulmonary artery pressure (PAP).
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