BMJ Case Reports 2012; doi:10.1136/bcr.03.2012.5978
  • Images in...

New onset dyspnoea at 82 years

  1. Panneerselvam Subbiahnadar4
  1. 1Cardiology Department, Eugene Clinic, S K Selvam Hospital, Mettupalayam, India
  2. 2Cardiology Department, PSG Institute of Medical Sciences & Research, Coimbatore, Tamil Nadu, India
  3. 3Obstetrics & Gynaecology Department, S K Selvam Hospital, Mettupalayam, India
  4. 4Family medicine Department, S K Selvam Hospital, Mettupalayam, Tamil Nadu, India
  1. Correspondence to Dr Arunkumar Panneerselvam, drparun1976{at}


A 82-year-old woman with sedentary lifestyle presented with New York Heart Association Class IV dyspnoea and orthopnoea of 1 day duration. Clinical examination was unremarkable except for bilateral basal crepitations. There was no murmur on auscultation. Her baseline investigations including blood sugar, urea, creatinine and calcium were normal. Chest x-ray showed pulmonary venous hypertension. Echocardiogram revealed extensive calcification of mitral annulus which caused severe left ventricular (LV) inflow obstruction with gradient of 37/17 mm Hg (figure 1A,B; video 1). In …

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article