Author/Authors :
Doğan, Umuttan Selçuk University - Meram Faculty of Medicine - Department of Cardiology, Turkey , Özdemir, Kurtuluş Selçuk University - Meram Faculty of Medicine - Department of Cardiology, Turkey , Paksoy, Yahya Selçuk University - Meram Faculty of Medicine - Department of Radiology, Turkey , Gök, Hasan
Abstract :
A 74-year-old woman was admitted to our clinic for 3-month history of shortness of breath evolving on exertion. She did not have any cardiovascular risk factors but untreated hypertension. Physical examination and electrocardiogram were normal. The postero-anterior chest X-ray revealed right-sided diaphragmatic elevation (Fig. 1). Subcostal echocardiographic examination showed that the right atrium (RA) was compressed by the liver. Narrowing of the inferior vena cava (IVC)-RA junction, at deep inspiration was remarkable (Video 1. See corresponding video/movie images at www.anakarder.com). A 72 mm Hg peak gradient emerging at deep inspiration and disappearing at expiration was documented with the pulsed-wave Doppler (Fig.2).
