J Korean Med Sci.  2023 Aug;38(32):e262. 10.3346/jkms.2023.38.e262.

Case 13: A 60-Year-Old Woman Presented With Dyspnea and Generalized Edema

• Lee J
• Kim GH
• Her SH
• Yi JE
• Mok Js
• Kim MS

• KMID: 2545205
• DOI: http://doi.org/10.3346/jkms.2023.38.e262

Figure

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  Fig. 1 Chest ap X-ray image of the patient at the time of emergency room visit.

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  Fig. 2 Systolic anterior movement through M-mode is seen in transthoracic echocardiogram (parasteral short axis view) (left picture), left ventricular outflow tract peak pressure gradient 119 mmHg, meanPG 42 mmHg (left picture).

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  Fig. 3 The septal branch of the target coronary artery was confirmed for echo contrast (left), and alcohol embolization was performed in the pacemaker insertion state (right).

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  Fig. 4 ECG rhythm of pre-procedure right bundle branch block pattern (left), ECG of patient changed to left bundle branch block after alcohol embolization (right).ECG = electrocardiogram.

Reference

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