Cirrhosis of the Liver and Myocardial Infarction
Cirrhosis of the Liver and Myocardial Infarction A 65-year-old man from Uruguay has a history of cirrhosis of the liver and a prior myocardial infarction. The echocardiogram (Videos 50-1 to…
Bioprosthetic Mitral Valve Replacement
Bioprosthetic Mitral Valve Replacement A 65-year-old man had a bioprosthetic mitral valve (MV) replacement 6 years ago. He now presents with worsening congestive heart failure (CHF). A transesophageal echocardiogram is…
Degenerative Mitral Regurgitation
Degenerative Mitral Regurgitation A 63-year-old woman with dyspnea on exertion is diagnosed with degenerative mitral regurgitation due to a myxomatous mitral valve. She is referred for mitral valve surgery, and…
Mitral Valve Replacement and Hypotension
Mitral Valve Replacement and Hypotension The patient is a 62-year-old man who underwent mitral valve replacement. Six hours after returning to the intensive care unit, he develops hypotension with a…
Pulmonary Edema and End-Stage Renal Disease
Pulmonary Edema and End-Stage Renal Disease A 61-year-old woman with New York Heart Association classification class III heart failure has a history of pulmonary edema and end-stage renal disease. She…
Worsening Abdominal Bloating
Worsening Abdominal Bloating A 61-year-old retired physician presents with a 6-month history of worsening midepigastric bloating sensation associated with fatigue, diarrhea, and lower extremity edema. He has occasional episodes of…
Coronary Artery Bypass Graft and Aortic Valve Replacement
Coronary Artery Bypass Graft and Aortic Valve Replacement A 61-year-old man with a history of coronary artery bypass grafting and aortic valve replacement presents with worsening fatigue and dyspnea on…
Rapid Atrial Fibrillation
Rapid Atrial Fibrillation A 61-year-old man presents to the emergency room with atrial fibrillation and a rapid ventricular response. After anticoagulation and rate control, a transesophageal echocardiogram (TEE) is performed…
Resection of a Mitral Valve Tumor
Resection of a Mitral Valve Tumor The patient is a 61-year-old man with a 10-year history of end-stage renal disease secondary to diabetes mellitus who is currently on hemodialysis. He…
Stress Echo for Dyspnea on Exertion
Stress Echo for Dyspnea on Exertion A 57-year-old woman is referred for stress echocardiogram for evaluation of dyspnea on exertion (DOE). The images in Figures 41-1, 41-2, 41-3, 41-4 and…
