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BMJ Case Reports 2017; doi:10.1136/bcr-2017-220120
  • Images in…

Mitral Stenosis

Open Access
  1. André Martin Mansoor
  1. Department of Internal Medicine, Oregon Health & Science University, Portland, Oregon, USA
  1. Correspondence to Dr André Martin Mansoor, mansooan{at}ohsu.edu
  • Accepted 30 March 2017
  • Published 15 May 2017

Description

A previously healthy 29-year-old Mexican woman presented to an emergency department with transient hemiparaesthesias and dysarthria. There was no evidence of stroke on cross-sectional imaging of the head, and she was discharged without a clear diagnosis. Two days later, she returned with acute abdominal pain. Abdominal imaging revealed complete occlusion of the right renal artery, prompting emergency embolectomy. Following the procedure, she developed acute haemoptysis, dyspnoea and hypoxaemia. Chest imaging demonstrated evidence of pulmonary venous hypertension. Cardiac auscultation revealed an opening snap followed by a diastolic murmur with presystolic accentuation. These sounds were …

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