 She had a transthoracic echocardiogram done in our office on August 29, 2008, which showed normal left ventricular size and systolic function, dilated right ventricle with septal flattening of the left ventricle consistent with right ventricular pressure overload, left atrial enlargement, severe tricuspid regurgitation with estimated PA systolic pressure between 75-80 mmHg consistent with severe pulmonary hypertension, structurally normal aortic and mitral valve. 
She had a transthoracic echocardiogram done in our office on August 29 , 2008 , which showed normal left ventricular size and systolic function , dilated right ventricle with septal flattening of the left ventricle consistent with right ventricular pressure overload , left atrial enlargement , severe tricuspid regurgitation with estimated PA systolic pressure between 75 - 80 mmHg consistent with severe pulmonary hypertension , structurally normal aortic and mitral valve .