A 4-year-old male patient, who had discrete subaortic stenosis and underwent subaortic membrane resection (SAM), presented with dyspnea and palpitation 3 months after surgical intervention, transthoracic echocardiography revealed severe mitral regurgitation due to perforation of the anterior mitral valve leaflet.
Learning objectives: Discrete subaortic membrane stenosis is the most common form of subaortic stenosis, definitive therapy is surgical resection, anterior mitral valve leaflet perforation is a rare complication post cardiac surgery, meticulous surgical resection and TEE guidance is required to reduce complications risk.
Background and Purpose: Low atrial rhythm can be considered as one of the rarest arrhythmias. The present case report aims to illustrate the symptoms, clinical evidence, diagnosis, and measures associated with a patient suffering from low atrial rhythm.
Case Presentation: A 65-year-old man suffering from diabetic foot ulcers was hospitalized due to the shortness of breath and severe chest pain. P negative in leads II, III and Lead augmented vector foot (AVF) was observed in his electrocardiogram. Diagnostic measures included electrocardiogram, echocardiography and serum electrolyte levels.
Conclusion: Regarding the symptoms, early diagnosis and treatment are essential.
The “concealed” essence of the electrocardiographic analysis alone in diagnosing ischemia of the posterior myocardial wall has long been a challenge clinically. Here, we report a middle-aged man with persistent typical angina pain and subtle electrocardiographic changes who underwent emergent angiogram for suspicion of acute coronary occlusion. Circumflex occlusion was found and coronary intervention resulted in reperfusion.
