Un caso de disnea causado por el ventrículo derecho

Mayita  Alvarez Vargas; Norma Gamarra-Valverde Gamarra-Valverde; Milagros Bermudez-Pelaez; Renzo  Antay-Huerta; Marcos Padilla Reyes1,4 Padilla Reyes

doi:10.70106/rmr.v4i1.17

Authors

Mayita Alvarez Vargas Centro Nacional de Investigación Torres de Salud. Departamento de Investigación en Cardiología. Lima, Perú Autor/a https://orcid.org/0000-0002-2646-2030
Norma Gamarra-Valverde Departamento de Ingeniería, Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Perú. Autor/a https://orcid.org/0000-0001-9299-8872
Milagros Bermudez-Pelaez Departamento de Ingeniería, Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Perú Autor/a https://orcid.org/0000-0002-3861-6869
Renzo Antay-Huerta Departamento de Ingeniería, Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Perú Autor/a https://orcid.org/0000-0003-4393-6530
Marcos Padilla Reyes Centro Nacional de Investigación Torres de Salud. Departamento de Investigación en Cardiología. Lima, Perú Autor/a https://orcid.org/0000-0002-8850-7820

DOI:

https://doi.org/10.70106/rmr.v4i1.17

Keywords:

Heart defects, congenital, Ventricular outflow obstruction, Heart ventricles

Abstract

A 59-year-old male patient with a history of heart murmur since the age of 5 years without
medical follow-up came to the emergency room complaining of dyspnea at rest and palpitations. From 6 months before admission, he presented dyspnea NYHA (functional class) I, which progressively increased. Transthoracic and transesophageal echocardiography revealed severe subpulmonary obstruction by abnormal muscle bundles forming a fibrous ring, in other words, the diagnosis of a double-chambered right ventricle (DCRV) was made and confirmed by cardiac magnetic resonance imaging. During hospitalization, surgical treatment was decided. Now, the patient has had annual follow-ups for six years, with a favorable evolution.