Severe right heart failure in a patient with Grave's disease.
This brief report presents a patient with isolated right heart failure and two rare underlying causes, hyperthyroidism and dysplastic tricuspid valve. Repair of the tricuspid valve and treatment of the hyperthyroidism were both essential for successful treatment of the right heart failure. Most important, recrudescence of hyperthyroidism in this patient was associated with reappearance of florid right heart failure. This report provides further information about a potential linkage of hyperthyroidism and severe right heart failure.
Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina 27157-1045, USA.
N P
NP
Xenopoulos
G A
GA
Braden
R J
RJ
Applegate
D013956:Antithyroid Agents / Q000627:therapeutic use; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D006111:Graves Disease / Q000150:complications* / Q000188:drug therapy; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011441:Propylthiouracil / Q000627:therapeutic use; D014261:Tricuspid Valve / Q000473:pathology; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery
D013956:Antithyroid Agents; D011441:Propylthiouracil