Sorry, I missed this one! My differential list would be a bit shorter for this type of murmur 😉
It would consist of
Mitral valve regurgitation, most likely degenerative (less likely dysplasia)
Other causes of MR could be considered, but would be rare in this case – endocarditis, DCM etc
Possibly aortic stenosis (although usually left base)
Physiological (although again usually basilar)
And that is about all…
PS is left base
VSD right sternal
TR right apical
Liz
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