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Related Experiment Video

Updated: Feb 6, 2026

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Eighty-two-year-old man with a systolic murmur.

Daniel F Kupsky1, Karthikeyan Ananthasubramaniam1, James Lee1

  • 1Department of Medicine Division of Cardiology, Henry Ford Hospital Heart and Vascular Institute, Detroit, Michigan, USA.

Heart (British Cardiac Society)
|August 11, 2018
PubMed
Summary

This clinical case study highlights severe mitral stenosis in an elderly male patient undergoing cardiac risk evaluation. Echocardiography revealed characteristic Doppler findings indicative of this significant valvular heart disease.

Keywords:
echocardiographyvalvular heart diseas

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Area of Science:

  • Cardiology
  • Cardiac Imaging
  • Valvular Heart Disease

Background:

  • Pre-operative cardiac risk assessment is crucial for elderly patients with comorbidities undergoing non-cardiac surgery.
  • The patient presented for evaluation prior to resection of a small bowel gastrointestinal stromal tumour.
  • He had a history of coronary artery bypass surgery, hypertension, and a low activity level.

Observation:

  • Physical examination revealed a 2/6 systolic murmur at the apex.
  • Electrocardiogram (ECG) showed normal sinus rhythm.
  • Transthoracic echocardiography was performed for further cardiac evaluation.

Findings:

  • Echocardiographic Doppler tracings of the mitral valve (Figure 1A) demonstrated findings consistent with severe mitral stenosis.
  • Tricuspid valve Doppler (Figure 1B) was also analyzed.

Implications:

  • Accurate diagnosis of severe mitral stenosis is critical for surgical planning and patient management.
  • This case underscores the importance of echocardiography in identifying significant valvular heart disease in asymptomatic patients.
  • Management strategies must address both the oncological and cardiovascular conditions.