Coexistence of persistent left superior vena cava which is drained directly to left atrium and aortic stenosis with low gradient and low ejection fraction
نویسندگان
چکیده
Methods 46-year-old male patient was hospitalized because of shortness of breath. The patient’s general condition was very bad and he was confined to a wheelchair. The patient was in New York Heart Association Functional Classification (NYHA FC) Class IV. Severe aortic stenosis, EF 20%, Left ventricular end-systolic diameter 65 mm, end-diastolic diameter 50mm, global hypokinesia, gradient 51/13 mm Hg, normal mitral valve, pulmonary hypertension (75 / 24mmHg) were determined on transthoracic echocardiography. Basal gradient increased from 51/ 13mm Hg to 72/40 mmHg on dobutamine stress echocardiography.
منابع مشابه
Idiopathic enlargement of the right atrium accompanied by persistent superior vena cava: a rare case.
Picture 1. (A) A chest X-ray showing enlargement of the right atrium (RA) (arrow), (B) An echocardiogram showing dilatation of the coronary sinus (CS) (arrow), (C) A multislice computed tomogram showing enlargement of the RA, (D) A multislice computed tomogram showing persistent left superior vena cava (SVC) (arrow) which drained into the RA through the CS. LAD: left atrial dimension, LVDd: lef...
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