Complete Heart Block with Diastolic Heart Failure and Pulmonary Edema Secondary to Enlarging Previously Diagnosed Thrombosed Aneurysm of Sinus of Valsalva in a Patient with History of Autosomal Dominant Polycystic Kidney Disease
| Autor: | Martin Miguel Inocencio Amor, Sherif Ali Eltawansy, Maria Joana Thomas, Jeffrey Daniels |
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| Rok vydání: | 2015 |
| Předmět: |
Aortic valve
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty Aorta Heart block business.industry medicine.medical_treatment Autosomal dominant polycystic kidney disease Case Report medicine.disease Surgery Aneurysm medicine.anatomical_structure lcsh:RC666-701 Internal medicine medicine.artery Heart failure Ascending aorta cardiovascular system medicine Cardiology cardiovascular diseases Cardiology and Cardiovascular Medicine business Cardiac catheterization |
| Zdroj: | Case Reports in Cardiology Case Reports in Cardiology, Vol 2015 (2015) |
| ISSN: | 2090-6412 2090-6404 |
| DOI: | 10.1155/2015/281716 |
| Popis: | Autosomal dominant polycystic kidney disease (ADPKD) is associated with vascular aneurysms that can affect any part of the vascular tree, like ascending aorta or coronary arteries. Sinus of Valsalva is known as an anatomical dilation at the root of aorta above the aortic valve and very few cases show aneurysm at that site in patients with ADPKD. Sinus of Valsalva aneurysm (SVA) can present with rupture and acute heart failure and infective endocarditis or could be asymptomatic accidentally discovered during cardiac catheterization. We report a case of a 76-year-old male with a unique constellation of cardiovascular anomalies associated with ADPKD. Patient was previously diagnosed with aneurysms affecting ascending aorta, sinus of Valsalva, and coronary arteries. Several years later, he came with complete heart block which was discovered later to be secondary to enlargement of his previously diagnosed thrombosed SVA. His case was complicated with acute heart failure and pulmonary edema.Conclusion. Patients with ADPKD can present with extrarenal manifestations. In our case, aneurysm at sinus of Valsalva was progressively enlarging and presented with complete heart block. |
| Databáze: | OpenAIRE |
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