Among all the complications of myocardial infarction, pericardial effusion remains correlated with a high morbidity and mortality rate. Tuberculosis in Morocco is a public health problem with 25,000 new cases per year, 47% of which are extra pulmonary, we present an exceptional case of a 70 year old man presenting with an extensive anterior myocardial infarction complicated with tuberculous pericarditis effusion, highlighting the importance of thinking of this aetiology in a specific context.
Percutaneous Balloon Valvuloplasty for Bioprosthetic Tricuspid Valve Stenosis (PBVBTV) is an accepted therapeutic option for symptomatic severe bioprothetic tricuspid valve stenosis, whereas a surgical tricuspid valve replacement remains the treatment of choice. There have been little reports of successful PBVBTV for bioprosthetic tricuspid valve stenosis. Herein we present a case performed at our hospital, with successful, reduction in valve gradient and lasting clinical improvement. We describe the standard technique used for PBVBTV. We present results from a literature review that identified 16 reported cases of PTTBV for bioprosthetic severe tricuspid stenosis, with favorable results. We conclude that PBVBTV maybe considered for a select patients in which symptomatic improvement and hemodynamic stability are desired immediately, and specially for patients who are inoperable or at high surgical risk.
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