Decompensated Aortic Stenosis in a Young Patient with Multiple Comorbidities - A Case Report
Autor: | Alexandra Stoica, Marius Harpa, Hussam Al Hussein, Carmen Opriş, Cosmin Opriş, Hamida Al Hussein, Claudiu Ghiragosian, Cosmin Banceu, Horaţiu Suciu |
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Rok vydání: | 2020 |
Předmět: |
0301 basic medicine
medicine.medical_specialty business.industry General Medicine 030204 cardiovascular system & hematology medicine.disease 03 medical and health sciences Stenosis 030104 developmental biology 0302 clinical medicine Internal medicine cardiovascular system medicine Cardiology business |
Zdroj: | Acta Medica Transilvanica. 25:39-41 |
ISSN: | 2285-7079 |
Popis: | Aortic valve replacement is a safe therapy that can reverse cardiac remodeling and increase cardiac contractility, improve symptoms and quality of life. We presented a case of a 35-year-old male patient admitted to the Emergency Institute for Cardiovascular Disease and Transplantation of Târgu Mureș, Romania, due to severe aortic stenosis with severely depressed ejection fraction, left atrial myxome and a history of deep vein thrombosis and pulmonary thromboembolism. He underwent excision of the aortic valve and replacement with a mechanical prosthesis, excision of left atrial myxoma and tricuspid annuloplasty. The postoperative evolution was favourable with a significant recovery of the left ventricular systolic function and regression of cardiac symptomatology. This case was particular due to the rapid progression of the aortic pathology with the reduction of cardiac (systolic) function in a relatively short time as well as the occurrence of the thromboembolic event unrelated to the left atrial myxoma and rather associated with the background of cardiac failure with low cardiac output. |
Databáze: | OpenAIRE |
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