Right ventricle dilatation: the big five
| Autor: | Anton Doubell, Philipus George Herbst, Rene Jansen van Rensburg |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Heart Ventricles Dissection (medical) 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Superior vena cava medicine.artery Internal medicine medicine Palpitations Humans Sinus rhythm cardiovascular diseases 030212 general & internal medicine Coronary sinus Aorta medicine.diagnostic_test business.industry medicine.disease medicine.anatomical_structure Ventricle Echocardiography Pulmonary Veins Cardiology medicine.symptom Cardiology and Cardiovascular Medicine Chest radiograph business Cardiomyopathies Dilatation Pathologic |
| Zdroj: | Heart (British Cardiac Society). 106(6) |
| ISSN: | 1468-201X |
| Popis: | A 38-year-old man, previously well, presents after being mauled by a Cape buffalo, while on Safari in South Africa. He recovered well but visited a cardiologist for infrequent palpitations lasting less than 10 min. A chest radiograph demonstrated increased cardiothoracic ratio raising the concern of possible traumatic mediastinal injury. His clinical examination was unremarkable. ECG demonstrated sinus rhythm with incomplete right bundle branch block. Echocardiography revealed a dilated, hyperdynamic right ventricle (RV) and dilated coronary sinus (CS). The left ventricle (LV) and aorta were normal with no evidence of aneurysm or dissection. An agitated saline bubble study was performed via the left antecubital fossa. Interestingly, all bubbles entered the right atrium (RA) via the superior vena cava (SVC) with no bubbles entering via the CS and no bubbles shunting to the left … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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