• Sonuç bulunamadı

Subvalvular pulmonary stenosis, right ventricular hypertrophy and patent foramen ovaleKapak seviyesi altında pulmoner darlık, sağ ventrikül hipertrofisi veforamen ovale açıklığı

N/A
N/A
Info
İndir
Protected

Academic year: 2021

Share "Subvalvular pulmonary stenosis, right ventricular hypertrophy and patent foramen ovaleKapak seviyesi altında pulmoner darlık, sağ ventrikül hipertrofisi veforamen ovale açıklığı"

Copied!
1
0
0

Yükleniyor.... (view fulltext now)

Şimdi indir ( 1 sayfa )

Tam metin

(1)

626

Subvalvular pulmonary stenosis, right ventricular hypertrophy and

patent foramen ovale

Kapak seviyesi altında pulmoner darlık, sağ ventrikül hipertrofisi ve

foramen ovale açıklığı

A 31-year-old woman presented with dyspnea on effort. Her family history and past history were unremarkable. Her blood pressure was 132/78 mmHg and pulse rate was 94/min with a regular rhythm. Physical examination revealed a harsh, grade 2/6 sys-tolic ejection murmur, most prominent over the fourth intercostal space and left ventricular border. The chest X-ray disclosed mild cardiomegaly (cardiotho-racic ratio 55%) without pulmonary congestion, and pulmonary vascularity was normal. Her electrocardio-gram and transthoracic echocardiography showed right ventricular hypertrophy. Continuous wave Doppler revealed a maximum velocity of 4.9 m/sec which cor-responded to a pressure gradient of 97 mmHg between the right ventricle and the distal portion of the right ventricular outflow tract (RVOT). Transesophageal echocardiography showed obstruction and a systolic jet in the RVOT (Fig. A, B), as well as a patent foramen ovale. Computed tomography angiography showed narrowing of the lower part of the RVOT (Fig. C). The patient refused cardiac catheterization, so medical treatment with a beta-blocker was initiated and she was discharged with follow-up.

Orhan Doğdu# Oğuzhan Baran Ömer Karaduman Mikail Yarlıoğlueş Department of Cardiology, Medicine Faculty of Erciyes University, Kayseri

Türk Kardiyol Dern Arş - Arch Turk Soc Cardiol 2011;39(7):626 doi: 10.5543/tkda.2011.01583

Figures. Transesophageal echocar-diograms showing (A) obstruction and (B) a systolic jet in the right ventricular outflow tract (RVOT). (C) Computed tomography angiography showing obstruction in the RVOT.

LA: Left atrium; LV: Left ventricle; RA: Right atrium; RV: Right ventricle; Ao: Aorta; PA: Pulmonary artery.

A

B

C

#Current affiliation: Yozgat State Hospital,

Referanslar

Şimdi indir ( PDF - 1 sayfa - 487.26 KB )

Benzer Belgeler

Repair of ventricular septal defect and pulmonary stenosis with right lateral mini-thoracotomy

Operations such as atrial septal defect (ASD) closure with conventional cannulation techniques can be performed safely with minimally invasive RLT method without any

A rare myxoma in the right ventricular outflow tract

The mass was attached to the RVOT by a small pedicle (Figure 2) and protruded across the pulmonic valve into the pulmonary artery, resulting in nearly complete

A case of cavernous hemangioma in the right ventricular outflow tract

In this article, we report a rare cardiac cavernous hemangioma case with remarkable features including symptomatic profile of the patient, localization of the tumor

A rare complication of patent ductus arteriosus coil occlusion involving a foreign body migrating rapidly from the femoral vein to the right ventricle

A rare complication of patent ductus arteriosus coil occlusion involving a foreign body migrating rapidly from the femoral vein to the right ventricle.. Femoral venden sağ

The simultaneous presence of bronchiectasis in a patient withdouble-outlet right ventricle, atrial septal defect, ventricularseptal defect and pulmonary stenosis

with bronchiectasis that showed concurrent DORV, VSD, pulmonary stenosis (PS), and atrial septal defect (ASD) along with a history of frequent pulmonary infections

C agenesis of the right coronary artery coronary artery-to-right ventricle fistula and A patient with ischemic symptoms presents with left

Transthoracic echocardiography (TTE) showed an abnormally large left main coronary artery (LMCA) with right ventricle continuous flow.. The RCA agen- esis also was detected by

Anevrizmatik sağ pulmoner arterin özofagus basısına bağlı yutma güçlüğüDysphagia due compression of right pulmonary artery aneurysm to the esophagus

Sağ pulmoner arterde 63x67 mm çaplarında anevrizmatik dilatasyon, intramural trombüs ayrıca genişlemiş sağ pulmoner arterin özofagus, karina ve büyük hava yollarına

Concomitant diagnosis of a large apical right ventricular thrombus in a newlydiagnosed case of arrhythmogenic right ventricular dysplasia

(B) Modified apical 4-chamber view of the echocardiographic ex- amination showing right ventricular dilatation with a large apical thrombus. (C) Mag- netic resonance image