Ann Clin Case Rep | Volume 7, Issue 1 | Case Report | Open Access

Findings of Severe Mitral Stenosis Complications by POCUS

Herrera Darias S*, Rex García M, Castillo Barrera MJ, Khan de Freitas N, Donaire Sanso G, Ródenas Fernández A, Guillén Chirinos GA, Ramírez Correa JA and Gómez Cerquera JM

Department of Internal Medicine, Sant Boi de Llobregat General Hospital, Spain

*Correspondance to: Herrera Darias S 

Fulltext PDF

Abstract

Aim: To present the very late clinical and echographic outcomes of an untreated rheumatic mitral stenosis. Summary: Moroccan young man with no past medical history presented at emergency room with subacute dyspnea, pitting edema, oppressive chest pain and chills. Physical exam revealed signs of hypervolemia, jaundice and intense pan-diastolic murmur. Laboratory tests showed mild pancytopenia, elevated liver enzymes and altered coagulation. Atrial fibrillation and bilateral Kerley B lines were described by ECG and X-ray. Bed side echocardiography showed an atrial dilation with severe rheumatic mitral stenosis and global systolic dysfunction. Two months after voluntary discharge, presented with exacerbated symptoms and shock signs. POCUS exam disclosed a giant left atrial thrombus, right ventricle overload and bilateral pulmonary consolidations that were described by CT as superinfected infarct areas with bilateral thromboembolism. Despite medical treatment, the patient finally expired few days later. Conclusion: Massive intra-atrial thrombus in aneurysmal atrial dilation due to rheumatic mitral stenosis are exceptional findings with high impact in the management when promptly viewed under POCUS exam.

Keywords:

#

Citation:

Herrera Darias S, Rex García M, Castillo Barrera MJ, Khan de Freitas N, Donaire Sanso G, Ródenas Fernández A, et al. Findings of Severe Mitral Stenosis Complications by POCUS. Ann Clin Case Rep. 2022; 7: 2203..

Subscribe to Our Newsletter