Subject(s)
Aged, 80 and over , Antitubercular Agents/therapeutic use , Cardiomyopathy, Restrictive/diagnosis , Diastole , Fatal Outcome , Humans , Male , Mitral Valve , Pericarditis, Constrictive/diagnosis , Pulsatile Flow , Stroke Volume , Systole , Time Factors , Ultrasonography, Doppler , Ventricular Function, LeftABSTRACT
Cases of aneurysm of basal muscular interventricular septum are very uncommon. This report describes a rare case of a young man in which aneurysmal deformity was an incidental finding during follow-up after thrombolysis of the obstructed mitral prosthesis.
Subject(s)
Adult , Bioprosthesis/adverse effects , Echocardiography, Doppler , Electrocardiography , Follow-Up Studies , Heart Aneurysm/physiopathology , Heart Septum/pathology , Heart Valve Prosthesis/adverse effects , Humans , Male , Mitral Valve Insufficiency/surgery , Prosthesis Failure , Risk Assessment , Severity of Illness IndexABSTRACT
An 8-year-old child suffering from ventricular septal defect and severe valvular pulmonary stenosis was evaluated by echo-Doppler technique and cardiac catheterization. A peak instantaneous transventricular systolic gradient of 64 mmHg was recorded across the ventricular septal defect with an interesting M-shaped spectral pattern. However, cardiac catheterization revealed a peak-to-peak non-simultaneous gradient between the right and the left ventricle of only 14 mmHg. This discrepancy along with its implications are discussed in this report.