A 62-year-old patient who has had a pericardial bioprosthesis in mitral position for two years. He is admitted urgently for acute coronary syndrome. Two days later and after a favorable evolution, he suddenly presented heart failure with acute pulmonary edema. Select the diagnostic option in this case from the following possibilities:
The valve is biological and, in general, the veils are not sewn to the papillary muscles, so we don't care what happens to them. A ventricular aneurysm depresses LVEF, but does not suddenly put you into PAD. In contrast, a VSD sharply increases flow to the pulmonary bed, causing pulmonary edema, and is also one of the most frequent complications of AMI. Ischemic ASD... I do not deny that it exists, but it does not even appear in the guidelines. And endocarditis would not require so many saddlebags.
Acute post-infarction mitral insufficiency.
Left ventricular aneurysm.
Acute ventricular septal defect.
Postinfarction atrial septal defect.
Dysfunction of the bioprosthesis due to probable acute endocarditis.
Ischemic ASD... I do not deny that it exists, but it does not even appear in the guidelines.
A ventricular aneurysm depresses LVEF, but does not suddenly put you into PAD.
a VSD sharply increases flow to the pulmonary bed, causing pulmonary edema, and is also one of the most frequent complications of AMI.
Ischemic ASD... I do not deny that it exists, but it does not even appear in the guidelines.
endocarditis would not require so many saddlebags.