Long-lasting symptoms and diagnostics in a patient with unrecognized right sided heart failure: Why listening to the heart is so important

M Ebstein is usually diagnosed in early childhood or ad-olescence. The young woman in our case complainted of fatigue and shortness of breath, on physical exami-nation she showed signs of heart failure with raised central venous pressure, palpable liver, an a cardiac murmer. Based on these findings...

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Bibliographic Details
Published inWorld journal of cardiology Vol. 6; no. 5; pp. 345 - 348
Main Authors de Vette, Liesbeth C, Brugts, Jasper J, McGhie, Jacky S, Roos-Hesselink, Jolien W
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 26.05.2014
Subjects
Auscultation
cardiology
Case Report
Congenital
Ebstein
Liver
Pregnancy
Pregnancy
Congenital cardiology
Auscultation
Liver
Ebstein
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Summary:M Ebstein is usually diagnosed in early childhood or ad-olescence. The young woman in our case complainted of fatigue and shortness of breath, on physical exami-nation she showed signs of heart failure with raised central venous pressure, palpable liver, an a cardiac murmer. Based on these findings she should have been referred to a cardiologist in an early stage after which transthoracic echocardiography resulted in the correct diagnosis. In this case the anomaly was missed for many years by different specialists and the patient was treated for liver disease, while she was suffering from liver congestion due to right-sided heart failure.
Bibliography:Liesbeth C de Vette;Jasper J Brugts;Jacky S McGhie;Jolien W Roos-Hesselink;Department of Cardiology, Erasmus MC, 230 3015 CE Rotterdam, The Netherlands
Correspondence to: Jolien W Roos-Hesselink, Professor, Department of Cardiology, Erasmus MC, Thoraxcentre‘s Gravendijkwal, 230 3015 CE Rotterdam, The Netherlands. j.brugts@erasmusmc.nl
Telephone: +31-10-8003938 Fax: +31-10-8003939
Author contributions: de Vette LC, Brugts JJ, McGhie JS and Roos-Hesselink JW wrote the manuscript, interpretated the clinical data and echocardiographic data, and approved the final version of the manuscript
ISSN:1949-8462
1949-8462
DOI:10.4330/wjc.v6.i5.345