Presentation of Severe Rheumatic Mitral Stenosis at the Peak of the COVID-19 Pandemic and the Presumptive Treatment as Severe Coronavirus Illness

  • Christopher Balfe Department of Cardiology, Tallaght University Hospital, Tallaght, Dublin, Ireland
  • Cormac O'Connor Department of Cardiology, Tallaght University Hospital, Tallaght, Dublin, Ireland
  • Gerard Giblin Department of Cardiology, Mater Misericordiae University Hospital, Dublin, Ireland
  • Kevin Walsh Department of Cardiology, Mater Misericordiae University Hospital, Dublin, Ireland
  • Ivan Casserly Department of Cardiology, Mater Misericordiae University Hospital, Dublin, Ireland
  • David Moore Department of Cardiology, Tallaght University Hospital, Tallaght, Dublin, Ireland
  • Vincent Maher Department of Cardiology, Tallaght University Hospital, Tallaght, Dublin, Ireland

Keywords

Mitral stenosis, rheumatic heart disease, valvular heart disease

Abstract

This case report describes a young female Caucasian patient with newly presenting severe mitral stenosis at the peak of the coronavirus pandemic in the Republic of Ireland.
The initial presumptive diagnosis was of severe coronavirus illness. This case report highlights the importance of keeping an open mind to alternative diagnoses and examines some of the challenges in the diagnosis and management of a rare condition in the pandemic environment.
This patient gained 10 kg of weight within 6 weeks of percutaneous balloon mitral valvuloplasty, highlighting the contribution of cardiac cachexia to her low body weight and demonstrating the exceptional benefit that this treatment can offer to patients.

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References

Watkins DA, Johnson CO, Colquhoun SM, Karthikeyan G, Beaton A, Bukhman G, et al. Global, regional, and national burden of rheumatic heart disease, 1990–2015. N Engl J Med 2017;377:713–722.

Published: 2020-11-04

Issue: Vol 8 No 1 (view)

Section: Articles

How to cite:
1.
Balfe C, O’Connor C, Giblin G, Walsh K, Casserly I, Moore D, Maher V. Presentation of Severe Rheumatic Mitral Stenosis at the Peak of the COVID-19 Pandemic and the Presumptive Treatment as Severe Coronavirus Illness . EJCRIM 2020;8 doi:10.12890/2020_001957.