Lung Cancer with Shortness of Breath
Lung Cancer with Shortness of Breath This patient is an 83-year-old man with active lung cancer, and he was on chemotherapy. He had never had surgery and had never received…
Respiratory Failure and Tachy-brady Syndrome
Respiratory Failure and Tachy-brady Syndrome A 76-year-old woman had repeated hospital admissions for volume overload, respiratory failure, prolonged intubations, atrial fibrillation, and tachy-brady syndrome. On repeated transthoracic echocardiograms (TTE), she…
Heart Murmur, Systemic Hypertension, and History of Cerebrovascular Accident
Heart Murmur, Systemic Hypertension, and History of Cerebrovascular Accident A 75-year-old man with a heart murmur since childhood, hypertension, and a history of a cerebrovascular accident had an echocardiogram to…
Recurrent Episodes of Bronchitis and Pneumonia
Recurrent Episodes of Bronchitis and Pneumonia A 79-year-old woman has a history of shortness of breath, bronchial asthma, and bronchiectasis associated with recurrent episodes of bronchitis and pneumonia. She developed…
Aortic Stenosis and Atrial Fibrillation
Aortic Stenosis and Atrial Fibrillation A 74-year-old woman with severe aortic stenosis and atrial fibrillation (AFIB) is referred for aortic valve replacement. See Figures 71-1, 71-2 and 71-3 and Videos…
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…
