Eisenmenger's syndrome--True are all except:
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).
Pulmonary veins are not distended
RV and LV walls come back to normal size
Dilatation of central pulmonary artery
Peripheral pruning of pulmonary arteries
C.V.S.