Chagas cardiomyopathy with left ventricular apical aneurysm: first case report in Australia

Abstract

patient it seemed to resolve post-op Day 2, responding only to surgery having been refractory medically prior to that.In summary, cardiogenic pulmonary oedema remains a possible and sufficient explanation for asymmetric right upper lobe pulmonary abnormalities in a patient with significant mitral valve regurgitation. Transthoracic and/or transoesophageal echocardiography with particular attention to mitral regurgitation jet direction and demonstration of regurgitant systolic reversal of flow into right pulmonary vein(s) would corroborate this diagnosis. Clinical judgment may mandate the need to exclude other coexisting pulmonary pathology, but indeed the sole underlying pathology may be cardiac. Such pulmonary oedema may persist despite aggressive medical measures and resolve only after surgical correction of the valve dysfunction.

Chagas disease in Australia and New Zealand: risks and needs for public health interventions

“…In Australia and New Zealand, a single case has been reported so far (Sooklim et al . ). In Japan, a country with a large population of Brazilian and Peruvian origin and an estimated 3000 cases, only 17 cases, all in immigrants, have been reported since 1976 (WHO ).…”