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There are several echocardiographic findings that can estimate pulmonary artery systolic pressure. Among them, D-shaped LV is one of echocardiographic parameters suggesting the presence of elevated RV pressure. An abnormal pressure gradient between LV and RV can lead to D-shaped LV.The “D Sign” is an ultrasound/echo finding that shows the left ventricle as a D-shaped structure. It is a result of right ventricular overload causing a shift of the septum towards the left side of the heart. The “D-sign” can be the result of either right ventricular Pressure and/or Volume overload.
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