Profound Hypertension after Hemodialysis A 71-year-old woman with diabetes mellitus, hypertension, end-stage renal disease, status post mitral valve replacement, and history of bacteriemia presents with profound hypotension after hemodialysis. Figure…
Mass Near Right Atrium A 71-year-old man with a history of coronary artery bypass grafting (CABG) 20 and 10 years ago had a 2D and transesophageal echocardiogram (Figs 62-1, 62-2,…
Bulging of the Cardiac Silhouette A 70-year-old man who had undergone a cardiac transplant 4 months previously suffered a loss of vision in the left eye, but he had no…
Emergent Lysis of Adhesions A 70-year-old woman is 1 day postoperative for emergent lysis of adhesions for small bowel obstruction. She develops pulmonary edema. Figure 60-1. Figure 60-2. Figure 60-3….
Mitral Valve Replacement with Anticoagulation Therapy A 69-year-old woman has a history of mitral stenosis, chronic atrial fibrillation, and a past mitral valve commissurotomy in Russia. She subsequently underwent mitral…
Mitral Valve Reconstruction A 68-year-old woman had mitral valve regurgitation due to a P2 prolapse. Her left ventricular ejection fraction was preserved, but she had pulmonary hypertension (pulmonary artery pressure…
Dyspnea, Orthopnea, and Pedal Edema A 67-year-old man with a history of hypertension presents with 3 months of increasing dyspnea, orthopnea, and lower extremity edema. His transthoracic echocardiogram is shown…
Shortness of Breath and Palpitations A 67-year-old man complains of shortness of breath and palpitations. He had robotic mitral valvular surgery 1 year ago. Figure 55-1. Figure 55-2. QUESTION 1….
Percutaneous Coronary Intervention and Stenting A 65-year-old woman with a history of coronary artery disease, prior coronary artery bypass graft 13 years ago, and coronary angioplasty with stent placement twice…
Congestive Heart Failure with a Biventricular Pacemaker A 65-year-old woman with congestive heart failure and a biventricular pacemaker had two hospitalizations for heart failure in the past 6 months. She…
