End-stage Renal Disease and Hypertension
End-stage Renal Disease and Hypertension A 73-year-old man with end-stage renal disease due to long-standing hypertension has a routine echocardiogram performed, and the images in Figures 70-1 and 70-2 are…
Paroxysmal Nocturnal Dyspnea and Worsening Pedal Edema
Paroxysmal Nocturnal Dyspnea and Worsening Pedal Edema A 73-year-old man presents with a 6 months history of worsening exertional fatigue and dyspnea on exertion. More recently, he has developed paroxysmal…
Symptomatic Aortic Stenosis
Symptomatic Aortic Stenosis A 72-year-old man underwent aortic valve replacement 2 months ago for symptomatic severe aortic stenosis. He now presents with a 2-week history of fever, chills, rigors, and…
Severe Mitral Regurgitation
Severe Mitral Regurgitation A 72-year-old man with severe mitral regurgitation (MR) and a flail P3 scallop undergoes robotic mitral valve surgery. Transesophageal echocardiogram (TEE) images are obtained in the operating…
Intestinal Bleeding and Atrioventricular Block
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
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
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
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
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
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,…
