Rare Case of LV Mass Causing LV Inflow Obstruction and Heart Failure
Published: 2021-05-01
Page: 117-121
Issue: 2021 - Volume 4 [Issue 1]
Gaurav Chauhan
*
Department of Cardiology, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.
Pranay Gore
Department of Cardiology, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.
Ashwin Kodliwadmath
Department of Cardiology, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.
Abhimanyu Nigam
Department of Cardiology, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.
Bhanu Duggal
Department of Cardiology, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.
*Author to whom correspondence should be addressed.
Abstract
A 55-year-old man came with dyspnea on exertion NYHA class –II, for 4 months with orthopnea, and episodic-palpitations, 2 episodes of presyncope. On examination pulse was 110/minute irregular, blood pressure was 92/68mmHg and cardiovascular examination was remarkable with soft S1 sound and a soft mid-diastolic-rumbling murmur at apex. Transthoracic-echocardiography was done which showed a homogenous-mass occupying 2/3rd of left-ventricular cavity and causing LV-inflow obstruction. Unfortunately he had episode of VT degenerated into VF and patient died.
Keywords: Intra-cardiac mass, echocardiography, hemodynamic effect