Abstract
A 75-year-old female patient was admitted to our hospital after an episode of transient right-sided weakness. Her medical history was significant for ischemic heart disease, with coronary artery bypass grafting having been performed 4 years previously. She had experienced progressive dyspnea and decreased effort tolerance in the preceding 2 years, with 2 admissions due to congestive heart failure in the past year despite medical treatment. The physical examination was remarkable for a raised jugular venous pressure on the right side, bilateral ankle edema, and basal crackles in the lungs. A right carotid bruit was heard on auscultation during systole, although no thrill was …
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