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CPC 2018
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Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
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0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
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Abstract
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CLEAR FILTERS
A serious complication of mitral valve endocarditis
Session:
Casos Clínicos
Speaker:
Marta Fontes Oliveira
Congress:
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
Topic:
B. Imaging
Theme:
03. Imaging
Subtheme:
03.1 Echocardiography
Session Type:
Casos Clínicos
FP Number:
---
Authors:
Marta Fontes Oliveira; Maria Trêpa; Ricardo Costa; André Dias De Frias; Raquel Baggen Santos; Inês Silveira; Sofia Cabral; Severo Torres
Abstract
<p>69-year-old male patient with history of dyslipidemia and arterial hypertension, right bundle branch block and a mild dilatation of ascending aorta. Admitted in the emergency department with congestive heart failure. Blood analysis showed elevation of inflammatory parameters. The physical examination was remarkable for signs of left heart failure, and cardiac auscultation disclosed a grade III/VI pansystolic murmur at the apex with axillary irradiation. Blood cultures were positive for <em>coagulase negative staphylococcus </em>(presumed contamination). Transthoracic echocardiography (TTE) showed moderate aortic regurgitation, large saccular bulge originating from the anterior mitral valve leaflet with severe mitral regurgitation, and multiple valvular and subvalvular vegetations. Left ventricle ejection fraction was normal. Transesophageal echocardiography (TEE) confirmed the diagnosis of complicated endocarditis of the mitral valve with large ruptured anterior mitral valve leaflet aneurysm (2,2 x 2,5 cm) conditioning severe mitral regurgitation, and a large moving mitral vegetation. Aortic valve was clear of vegetations although it presented with mild to moderate aortic regurgitation. The patient was treated with antibiotics and a few days later he went to cardiac surgery for mitral and aortic valves replacement with <em>bioprosthesis</em>. The patient completed a 6-week antibiotic course following surgery and was then successfully discharged with no symptoms or signs of heart failure. This case highlights the importance of appropriate imaging for early detection of valvular complications and timely surgical intervention to achieve favorable outcomes.</p>
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