An unusual cause of heart failure
False
Cardiology
An unusual cause of heart failure
Read and join discussion threads related to cardiology
One of my colleagues mentioned a woman in passing who had presented to him with heart failure and had 'funny' heart sounds. She is in her 60's, complaining of swollen legs and is in atrial fibrillati
1
Cat:OpenClinicalForum:083a12c9-861a-4a42-a5af-ddc3263b34bc
Cat:OpenClinicalForum:083a12c9-861a-4a42-a5af-ddc3263b34bcDiscussion:06a968c8-40d1-4ea2-8423-9d4399cb7045
Forums » Open clinical » Cardiology » An unusual cause of heart failure
|
Re: An unusual cause of heart failure
posted at 5/5/2012 11:44 PM BST
on bmj.com
|
Posts: 3037
First: 27/3/2012 Last: 18/5/2013 |
Yes, Dr. Sadian, it is a large ostium secondum atrial septal defect causing right atrial enlargement as is evident from the echo pictures especially the transesophageal, which is showing left to right shunt or pressure gradient. In view of her management with surgical closure of the defect we need to know the quantitative analysis of pressure gradient. Her chronic CHF is secondary to pulmonary hypertension. |
|
|
Re: An unusual cause of heart failure
posted at 7/5/2012 1:59 PM BST
on bmj.com
|
Posts: 873
First: 17/6/2011 Last: 17/5/2013 |
This lady had her ASD closed percutaneously about 3 months ago with an unmbrella type device. I saw her on Thursday and she is very well. She no longer has severeTR (her neck doesn't pulsate!) and whe no longer has periprheral oedema . On echo her right heart size is almost normal. sadian |
|
|
Re: An unusual cause of heart failure
posted at 7/5/2012 3:37 PM BST
on bmj.com
|
|
Posts: 3037
First: 27/3/2012 Last: 18/5/2013 |
I am satisfied with the management of the patient & happy to know that she has improved symptomatically & her CHF is under good control. Thanks Dr. Sadian for the relevant information! |
Forums » Open clinical » Cardiology » An unusual cause of heart failure
