A multiparous Woman with Lately Diagnosed Multilevel Left Ventricular Obstruction. | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2017]

Author(s):

1. Muhammad Nasir Rahman: Department of Medicine, Section of Cardiology, The Aga Khan University Hospital, Karachi, Pakistan

2. Ibrahim Gul: Department of Medicine, Section of Cardiology, The Aga Khan University Hospital, Karachi, Pakistan

3. Amjad Nabi: Department of Medicine, Section of Cardiology, The Aga Khan University Hospital, Karachi, Pakistan

Abstract:

A 56-year hypertensive, multiparous woman presented to the cardiology unit with Canadian Cardiovascular Society (CCS) class-III angina and worsening dyspnea for the past few weeks. Her clinical examination showed high blood pressure and mid-systolic crescendo-decrescendo murmur radiating to carotids. However, there was no radio-femoral delay or significant blood pressure difference between her arms. Her transthoracic echocardiography (TTE) revealed moderate aortic stenosis (AS) and mid cavity left ventricular outflow (LVO) obstruction. Left heart catheterization (LHC) showed coarctation of aorta with extensive collaterals, mid cavity LVO obstruction, and moderate AS. Thus, she was diagnosed as a case of multi-level LVO obstruction including mid cavity LVO obstruction AS and coarctation of aorta. She underwent stenting of aortic coarctation as the initial step of graded approach to her disease, and is doing well.

Page(s): 305-307

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 27, Issue: 5, Year: 2017

Keywords:

Keywords are not available for this article.

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