Solve this exciting clinical case specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation A 57-year-old man with frequent angina and atrial fibrillation was hospitalized for a mitral valve repair.
The patient also complained of epigastric pain and heartburn. Transthoracic echocardiography and upper gastrointestinal endoscopy were performed. Findings of transthoracic echocardiography Fibrosis of mitral valve with regurgitation of 4 degrees An opening area of >1.5 cm 2 Transmitral gradient: 9-11 mmHg The volume of the left atrium: 203 mL (increased) Pulmonary hypertension: 50 mmHg Ejection fraction: 62% Findings of upper gastrointestinal endoscopy Tumor of midthoracic esophagus: 2 x 3 x 4 cm (cover image: black arrows) Abnormal metabolic activity of the esophageal wall tissue at Th7…
