Heart murmur in a young man
A man in his 20s with Down syndrome presented to cardiology clinic for evaluation of a murmur. He denied symptoms. He had no prior history of invasive cardiac procedures or cardiac surgery. His examination revealed a murmur. An echocardiogram was performed and a diagnostic image is shown in figure 1.
Question:
Based on the image what is the most likely cause of the murmur?
• Aortic stenosis
• Aortic regurgitation
• Mitral regurgitation
• Patent ductus arteriosus