Sujets)
Sujet âgé de 80 ans ou plus , Antituberculeux/usage thérapeutique , Cardiomyopathie restrictive/diagnostic , Diastole , Issue fatale , Humains , Mâle , Valve atrioventriculaire gauche , Péricardite constrictive/diagnostic , Écoulement pulsatoire , Débit systolique , Systole , Facteurs temps , Échographie-doppler , Fonction ventriculaire gaucheRésumé
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.
Sujets)
Adulte , Bioprothèse/effets indésirables , Échocardiographie-doppler , Électrocardiographie , Études de suivi , Anévrysme cardiaque/physiopathologie , Septum du coeur/anatomopathologie , Prothèse valvulaire cardiaque/effets indésirables , Humains , Mâle , Insuffisance mitrale/chirurgie , Défaillance de prothèse , Appréciation des risques , Indice de gravité de la maladieRésumé
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.