Right Ventricular Dysfunction - Right-Sided Heart Failure
Caption
Young male from Latin America with findings of right HF. Focused cardiac ultrasound shows massive RA, moderate pericardial effusion, relatively normal RV and LV. Significant TR ruled out. Findings consistent with Endomyocardial Fibrosis, found in tropical countries. Need cardiac MRI to confirm. Similar to eosinophilic myocardial fibrosis found in temperate climates. Dr. Gordon Johnson MD Internist Portland Oregon & Uganda SonoPortlandia.com