Bulging of the Cardiac Silhouette
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
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
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
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
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
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
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
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…
Obesity and Dyspnea on Exertion
Obesity and Dyspnea on Exertion A 65-year-old obese woman gets admitted to the hospital with complaints of shortness of breath and dyspnea on exertion. Figure 51-1. Transthoracic four-chamber view. Figure…
Upper Respiratory Complaints
Upper Respiratory Complaints A 65-year-old woman presents to her primary care physician with upper respiratory complaints. She later develops progressively worsening dyspnea on exertion and cough. She is treated with…
