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Case Report: Right Heart Failure Mistaken for Obesity-A Fault of Telemedicine



Case Reports


doi: 10.3389/fped.2022.856911.


eCollection 2022.

Affiliations

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Case Reports

Anna Sabiniewicz et al.


Front Pediatr.


.

Abstract

As a result of the COVID-19 pandemic, telemedicine has become an important branch of healthcare worldwide. Apart from their undeniable advantages, the virtual visits lack physical examination, which can lead to important diagnostic mistakes. We hereby present a case of a pediatric patient whose weight gain, initially attributed to a sedentary lifestyle was, in fact, due to sub-acute right heart failure in the context of a ruptured sinus of Valsalva aneurysm. The condition was not diagnosed until the patient presented at the emergency. The boy was successfully treated with two percutaneous interventions and returned to his previous stature.


Keywords:

ascending aorta; cardiac catheterization; cardiac edema; congenital heart defects; pediatric obesity; ruptured aneurysm.

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures



Figure 1

Computed tomography angiography image showing ruptured aneurysm of the right sinus of Valsalva (SVA); contrast can be seen passing from aorta to the right atrium; Ao, aorta; RA, right atrium; LV, left ventricle.


Figure 2


Figure 2

Images from cardiac catheterization. (A) Residual shunt following the first percutaneous intervention. The magnified image shows the ADO II device in the right SV; Ao, aorta, RA, right atrium. (B) Aortic root after the second intervention. The image shows two ADO II devices in place with no residual shunt to the right atrium.

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