Vol 64, No 1 (2006)
Other
Published online: 2006-01-23
Echocardiogram of the month
Severe pulmonary hypertension caused by untreated mitral stenosis. It still happens in the XXI century
DOI: 10.33963/v.kp.81513
Kardiol Pol 2006;64(1):93-95.
Abstract
We present a case of a 58 years old patient with extremely severe mitral stenosis. Several years ago she denied surgical treatment despite qualification by cardiologists. At present hospitalisation mitral valve area was calculated as 0,5 cm2 with systolic right ventricular systolic pressure of 125 mmHg. Right ventricle was hypertrophied and extremely enlarged as well as both atria. Surprisingly she was still in sinus rhythm and had no thrombi in the left atrium. Patient died before scheduled surgery because of cardiac decompensation and renal insufficiency.
Keywords: mitral stenosispulmonary hypertensionechocardiography