RESUMO
Cardiac anomalies are usually diagnosed early in life, which is particularly true for their various combinations. The diagnosis in adulthood is rare. Here we report the case of a young man with an aortic coarctation corrected at the age of 16, however the associated stenotic bicuspid aortic valve and cor triatriatum sinistrum were corrected after Streptococcus viridans endocarditis 7 years later.
Assuntos
Anormalidades Múltiplas , Coartação Aórtica/complicações , Estenose da Valva Aórtica/complicações , Coração Triatriado/complicações , Valva Mitral/anormalidades , Anormalidades Múltiplas/diagnóstico , Anormalidades Múltiplas/cirurgia , Adulto , Angiografia , Coartação Aórtica/diagnóstico , Coartação Aórtica/cirurgia , Estenose da Valva Aórtica/diagnóstico , Estenose da Valva Aórtica/cirurgia , Cateterismo Cardíaco , Procedimentos Cirúrgicos Cardíacos , Coração Triatriado/diagnóstico , Coração Triatriado/cirurgia , Ecocardiografia Doppler em Cores , Seguimentos , Humanos , MasculinoRESUMO
In a group of 24 patients having pure mitral stenosis, the relation between the echo parameters of the mitral valve and pressures in the pulmonary circulation was studied. On the basis of the authors' results, it was concluded that the sensitivity of one-dimensional echocardiography for the assessment of the severity of mitral stenosis can be further improved by measuring not only the widely accepted parameters, such as the diastolic closing velocity and the motion amplitude of the AML, but also by taking into account the echodiameter of the mitral orifice. Besides, careful observation of the motion pattern of the PML might be of use for distinguishing between a mild and moderate degree of mitral stenosis.
