Resumen

CALVO PINTO, Jhovany F.; CARDOZO GIL., Winder P.  y  BADANI HIDALGO, Juan C.. Mitral stenosis. Rev. Arte y Ciencia Medica [online]. 2005, n.7, pp. 34-36. ISSN 9999-8888.

Appears the case of a patient of 15 years of age that retum to the emergency service of Santa Barbara Hospital. Examined by disnea of functional class III-IV degree productive cough with hemoptoic expectoration, and migraine. All general physical examination without particularity. The regional physical examination display neck with bilateral jugular ingurgitation degree I. In precordio the shock of the end in 5th is observed and felt. Intercostal space with arrhythmic cardiac noises and irregular, variable R1, R2 with stamp tone and intensity increasing with rejurgitative systolic blowing in mitral area radiated to the armpit degree III, rolid diastólic in mitral center. In the Hemogram: leucocitosis was observed with deviation the left, A thorax X-Ray was requested (posteroanterior) was cardiomegalia degree II observed, also a growth of left cameras, and right auricle, sign of bilateral pulmonary hyperflow. The electrocardiogram showed an auricular fibrillation, electrical alternancy, posterioanterior hemiblocking. In an ecocardiogram expanded left ventricle was observed, mitral valve with rheumatic aspect, slight pericardic infiltration, mitral flow, tricuspid with single-phase pattern increased Epeacks and, increment of moderate aortic and slight and moderate mitral ebb tide rejurgitative. By clinic and complementary examinations diagnostic of mitral disease is reached from which the medic treatment on the basis of digoxina, enalapril, warfarina, furosemida, amilorida, hidroclorotiacida, amilorida, metoclopramida, famotidina and benzatínica penicillin begins evolving in a favourable way. However surgical treatment is recommended

Palabras llave : Mitral Stenosis; Ventricular Dysfunction.