Images in clinical medicine | Volume 40, Article 79, 06 Oct 2021 | 10.11604/pamj.2021.40.79.31056

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

Houda Mokhlis, Achraf Zaimi

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

Received: 03 Aug 2021 - Accepted: 13 Aug 2021 - Published: 06 Oct 2021

Domain: Cardiology

Keywords: Left heart failure, ventricular mass, thrombus

©Houda Mokhlis et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Houda Mokhlis et al. Acute decompensated left heart failure in a young patient revealing a large obstructive left ventricular mass. Pan African Medical Journal. 2021;40:79. [doi: 10.11604/pamj.2021.40.79.31056]

Available online at: https://www.panafrican-med-journal.com/content/article/40/79/full

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Images in clinical medicine

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

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

Houda Mokhlis1,&, Achraf Zaimi1

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

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

Images in clinical medicine

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

Images in clinical medicine

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

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Left heart failure

Ventricular mass

Thrombus

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