We wish to report an important clinical observation that combined several forms of imaging follow... more We wish to report an important clinical observation that combined several forms of imaging followed by pharmacological intervention that saved a patient from a potentially unnecessary surgical intervention. This was in a 65-year-old lady with previous Ultracor single tilting disc mitral valve replacement in 1996, systemic hypertension, chronic atrial fibrillation and epilepsy; who complained of worsening breathlessness. Clinically, she had physical signs of right heart failure. Trans-thoracic echocardiogram (TTE) showed mild left ventricular systolic impairment, dilated left atrium, significantly dilated right ventricle, moderate right ventricular systolic impairment, moderate rise of the systolic pulmonary artery pressure (55 mm Hg), and a well-seated mechanical mitral valve prosthesis with no para-valvular leak. However, the Ultracor single-tilting-disc mechanical MV prosthesis was not opening on alternate cardiac cycles, Fig. 1.
We wish to report an important clinical observation that combined several forms of imaging follow... more We wish to report an important clinical observation that combined several forms of imaging followed by pharmacological intervention that saved a patient from a potentially unnecessary surgical intervention. This was in a 65-year-old lady with previous Ultracor single tilting disc mitral valve replacement in 1996, systemic hypertension, chronic atrial fibrillation and epilepsy; who complained of worsening breathlessness. Clinically, she had physical signs of right heart failure. Trans-thoracic echocardiogram (TTE) showed mild left ventricular systolic impairment, dilated left atrium, significantly dilated right ventricle, moderate right ventricular systolic impairment, moderate rise of the systolic pulmonary artery pressure (55 mm Hg), and a well-seated mechanical mitral valve prosthesis with no para-valvular leak. However, the Ultracor single-tilting-disc mechanical MV prosthesis was not opening on alternate cardiac cycles, Fig. 1.
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Papers by Ian Hall