ABSTRACT
This article provides a brief description of the clinical manifestations and cardiac physiology of congestive heart failure. This is followed by specific treatment options and specific guidelines for treatment of patients with acute pulmonary edema while arrangements are being made for transfer to the hospital setting.
Subject(s)
Heart Failure/therapy , Pulmonary Edema/therapy , Acute Disease , Cardiac Output , Emergency Medical Services , Family Practice , Heart Failure/physiopathology , Hospitalization , Humans , Pulmonary Edema/physiopathologyABSTRACT
Pseudoaneurysms of the ascending aorta are relatively uncommon compared with those evolving from the left ventricle. In a young man with endocarditis of the aortic valve who developed a pseudoaneurysm arising from the ascending aorta, the diagnosis was established with the pulsed Doppler technique and cross sectional echocardiography by passing the Doppler sample from the aorta through the neck of the false aneurysm into the large pseudoaneurysm. Aortic root angiography showed this connexion to be a small fistula between the aorta and right atrium. Necropsy findings confirmed the diagnosis.
Subject(s)
Aortic Aneurysm/diagnosis , Echocardiography , Adult , Aorta , Heart Ventricles , Humans , MaleABSTRACT
This case report describes a rare complication of right ventricular myocardial infarction. Hypoxemia in this setting has only been described in two previous cases with a right-to-left interatrial shunt. This is surprising, given the high incidence of probe patent foramen ovale in randomly selected necropsy cases. Two-dimensional echocardiography with contrast is the method of choice for detecting this abnormality.
