Acute decompensated left heart failure in a young patient revealing a large obstructive left ventricular mass

¹Department of Cardiology, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco

^&Corresponding author
Houda Mokhlis, Department of Cardiology, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco

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We report the case of a 21-year-old female patient with no prior cardiovascular history, at only 3 months postpartum, who was presented to the emergency room for rapidly worsening dyspnea, the physical examination showed low O₂ stats and crackling lung sounds with signs of respiratory struggle, electrocardiograms (EKG) showed a regular sinus tachycardia at 145bpm with negative T waves in apicolateral leads. The patient was intubated and benefited from an emergency thoracic computed tomography (CT) angiography which showed a bilateral hilar alveolar-interstitial syndrome without signs of pulmonary embolism, the transthoracic echocardiography showed a huge obstructive mass of the left ventricle with segmental kinetic disorders .To better understand the nature of this mass a transoesophageal echocardiography was performed which was in favour of a thrombus, unfortunately, the patient died the same day before any procedure could have been done.

Figure 1: transesophageal echocardiography image showing the mass