Intestinal Bleeding and Atrioventricular Block A 72-year-old woman was hospitalized due to intestinal bleeding. Her electrocardiogram showed a first-degree atrioventricular block. She had no dyspnea or chest pain and occasional…
Mitral Valve Replacement A 72-year-old woman from India underwent mitral valve replacement with a biological valve 2 years ago. Eight weeks later, she developed increasing dyspnea (New York Heart Association…
Hypertrophic Cardiomyopathy with Lymphoma A 71-year-old woman presents 2 years after successful alcohol septal ablation for hypertrophic cardiomyopathy. She was recently diagnosed with lymphoma and has subsequently developed new onset…
Moderate-to-Severe Mitral Regurgitation A 71-year-old man complains of shortness of breath with chest pressure for 4 days. Past medical history includes end-stage renal disease on dialysis for the past 20…
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…
