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

Houda Mokhlis, Achraf Zaimi

PAMJ. 2021; 40:79. Published 06 Oct 2021 | doi:10.11604/pamj.2021.40.79.31056

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.
Corresponding author
Houda Mokhlis, Department of Cardiology, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco (houdamokhlis92@gmail.com)


The Pan African Medical Journal (ISSN: 1937-8688) is a subsidiary of the Pan African Medical Journal. The contents of this journal is intended exclusively for professionals in the medical, paramedical and public health and other health sectors.

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