Assuntos
Idoso de 80 Anos ou mais , Antituberculosos/uso terapêutico , Cardiomiopatia Restritiva/diagnóstico , Diástole , Evolução Fatal , Humanos , Masculino , Valva Mitral , Pericardite Constritiva/diagnóstico , Fluxo Pulsátil , Volume Sistólico , Sístole , Fatores de Tempo , Ultrassonografia Doppler , Função Ventricular EsquerdaRESUMO
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.
Assuntos
Adulto , Bioprótese/efeitos adversos , Ecocardiografia Doppler , Eletrocardiografia , Seguimentos , Aneurisma Cardíaco/fisiopatologia , Septos Cardíacos/patologia , Próteses Valvulares Cardíacas/efeitos adversos , Humanos , Masculino , Insuficiência da Valva Mitral/cirurgia , Falha de Prótese , Medição de Risco , Índice de Gravidade de DoençaRESUMO
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.