A 51 year old woman with a history of rheumatic fever presents with worsening dyspnea and palpitations. Pulse is irregularly irregular. Auscultation reveals a loud S1, opening snap, and low frequency diastolic rumble at the apex. Which of the following complications is she at highest risk of developing because of this valvular lesion?
- A)Left ventricular free wall rupture
- B)Acute ventricular septal rupture
- C)Infective vegetation on the pulmonic valve
- D)Pulmonary valve calcification
- E)Left atrial thrombus with systemic embolizationGABARITO
Explicação
Mitral stenosis causes chronic left atrial dilation and predisposes to atrial fibrillation. Blood stasis in the enlarged atrium can lead to thrombus formation and systemic embolization, especially stroke. Her irregularly irregular pulse and classic rheumatic m... Ver explicação completa e trilha adaptativa →