Assuntos
Dissecção Aórtica/psicologia , Luto , Dor no Peito/etiologia , Aneurisma Coronário/psicologia , Estresse Psicológico/complicações , Adulto , Dissecção Aórtica/diagnóstico , Dissecção Aórtica/epidemiologia , Dissecção Aórtica/fisiopatologia , Dissecção Aórtica/terapia , Aneurisma Coronário/diagnóstico , Aneurisma Coronário/epidemiologia , Aneurisma Coronário/fisiopatologia , Aneurisma Coronário/terapia , Feminino , Humanos , Revascularização Miocárdica/métodos , Transtornos Puerperais/psicologia , Fatores de RiscoRESUMO
A case with clinical and hemodynamic findings consistent with constrictive pericarditis is reported. At surgery, the pericardium was not thickened or adherent to the epicardial wall. As suggested by echocardiography, a diagnosis of severe tricuspid regurgitation was confirmed. This case illustrates that invasive hemodynamic findings consistent with a picture of pericardial constriction can be produced by processes other than constrictive pericarditis.
Assuntos
Pericardite Constritiva/diagnóstico , Insuficiência da Valva Tricúspide/diagnóstico , Idoso , Ecocardiografia Transesofagiana , Feminino , Hemodinâmica , Humanos , Pericardite Constritiva/fisiopatologia , Insuficiência da Valva Tricúspide/diagnóstico por imagem , Insuficiência da Valva Tricúspide/fisiopatologiaRESUMO
We describe an unusual case of periductal carctation of the aorta in a 40-year-old patient presenting to the echocardiography laboratory for evaluation of a heart murmur. Subsequent clinical history revealed easy fatigability, dyspnea on exertion, and hypertension. Despite a lack of left ventricular hypertrophy, aortic coarctation was suggested by echocardiography. It was later confirmed to be severe by multiple additional imaging modalities, despite an absence of overt collateral arterial channels. The importance of echocardiography in the diagnosis of coarctation of the aorta and the management of this complicated patient is discussed.