Atrial Fibrillation, Dyspnea with Heavy Exertion
The patient is a 47-year-old man with a history of atrial fibrillation. Eleven months prior to the transthoracic echocardiogram, he underwent a prolonged atrial fibrillation ablation procedure. He now returns complaining of dyspnea with heavy exertion. A transesophageal echocardiogram is done to further evaluate his dyspnea (Fig. 28-1).
 Figure 28-1. |
 Figure 28-2. |
QUESTION 1. What does the Doppler show?
A. The mitral inflow suggests mitral stenosis (MS)
B. There is MS and mitral regurgitation
C. This is a normal pulmonary vein flow
D. This is consistent with pulmonary vein stenosis
View Answer
ANSWER 1: D. The Doppler shows pulmonary vein stenosis (Fig. 28-3 and Video 28-1).
 Figure 28-3.
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