An Unusual Etiology of Severe Right Heart Failure Deserving of Wider Recognition

Woosun Kang, MD, MPH; Yu Zong, MD; Dhruvil Ashishkumar Patel, MD; Tushar Mishra, MD; Luis Afonso, MD

JACC: Case Reports (Mar 2024)

An Unusual Etiology of Severe Right Heart Failure Deserving of Wider Recognition

Woosun Kang, MD, MPH,
Yu Zong, MD,
Dhruvil Ashishkumar Patel, MD,
Tushar Mishra, MD,
Luis Afonso, MD

Affiliations

Woosun Kang, MD, MPH: Department of Cardiology, Wayne State University, Detroit, Michigan, USA
Yu Zong, MD: Department of Internal Medicine, Wayne State University, Detroit, Michigan, USA
Dhruvil Ashishkumar Patel, MD: Department of Internal Medicine-Pediatrics, University of Chicago, Chicago, Illinois, USA
Tushar Mishra, MD: Department of Cardiology, Wayne State University, Detroit, Michigan, USA
Luis Afonso, MD: Department of Cardiology, Wayne State University, Detroit, Michigan, USA; Address for correspondence: Dr Luis Afonso, DMC Heart Hospital, 311 Mack Avenue, Detroit, Michigan 48201, USA.

Journal volume & issue: Vol. 29, no. 5
p. 102222

Abstract

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A previously healthy 31-year-old man presented with worsening shortness of breath and a petechial rash. Echocardiography showed severe right-sided heart failure with midsystolic notching of the antegrade right ventricular outflow Doppler envelope suggesting pulmonary hypertension. An extensive work-up revealed scurvy, with a dramatic resolution of symptoms shortly after vitamin C supplementation.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

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