RESUMEN
A 26-year-old woman was admitted to our hospital because of exertional dyspnea (New York Heart Association III), general fatigue and palpitations over the past 2 months. She had normal psychosomatic development until adulthood, no previous pregnancies and a history of rheumatic fever at young age. Although she referred a slow gradual worsening of general conditions for 2 years, no clinical evaluations were previously performed.
Asunto(s)
Cateterismo , Anomalía de Ebstein/terapia , Estenosis de la Válvula Tricúspide/terapia , Adulto , Cateterismo Cardíaco , Diuréticos/uso terapéutico , Anomalía de Ebstein/complicaciones , Anomalía de Ebstein/diagnóstico , Ecocardiografía Doppler en Color , Ecocardiografía Transesofágica , Femenino , Humanos , Angiografía por Radionúclidos , Índice de Severidad de la Enfermedad , Resultado del Tratamiento , Estenosis de la Válvula Tricúspide/complicaciones , Estenosis de la Válvula Tricúspide/diagnósticoRESUMEN
We describe a case of a 63-year-old patient admitted to our hospital because of cardiogenic shock. Past medical records showed anterior myocardial necrosis, myocardial surgery revascularization with apical aneurysmectomy and, 3 weeks before, another coronary artery bypass operation due to malfunction of the previous grafts and mitral annuloplasty with placement of a Carpentier-Edwards Physio no. 28 prosthetic ring. Transthoracic echocardiography revealed, in the middle of the mitral orifice, the presence of an echogenic structure with hypermobility and severe peri-ring mitral regurgitation due to dehiscence of the posterior side of the prosthetic ring. The diagnosis was finally confirmed by surgery and then mitral valve replacement was performed.