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Abstract
A young female in her early 20s with complex congenital heart disease, previously treated with pulmonary valvotomy and a bidirectional Glenn procedure (for hypoplastic right ventricle, severe pulmonary stenosis and ASD) presented with worsening dyspnoea (NYHA IV), anasarca, fever and cough. Examination revealed atrial fibrillation, hypotension, cyanosis, anasarca and a mid-diastolic murmur. 2D transthoracic echocardiography showed bi-atrial enlargement with thickened mitral and tricuspid valves with severe mitral and tricuspid stenosis. Due to refractory shock despite medical management, mitral and tricuspid valve percutaneous balloon dilation was performed, leading to an improvement in haemodynamics, allowing her to be weaned off support and discharged after 3 days.
- Valvar diseases
- Interventional cardiology
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Footnotes
Contributors The corresponding author is the guarantor of the entire work. All three authors have been actively involved in the patient care and the final draft of this paper. DK is the guarantor for all the data and the entirety of the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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