<abstract xmlns="http://www.w3.org/1999/xhtml"><p>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.</p></abstract>

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.

Decompensated Aortic Stenosis in a Young Patient with Multiple Comorbidities - A Case Report

University of Medicine, Pharmacy, Science and Technology of Târgu-Mureș

Acta Medica Transilvanica

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Aortic valve replacement is a safe therapy that can reverse cardiac remodeling and increase cardiac contractility, improve symptoms and quality of life. We...

Decompensated Aortic Stenosis in a Young Patient with Multiple Comorbidities - A Case Report

Online veröffentlicht: 03. Aug. 2020

Seitenbereich: 39 - 41

Eingereicht: 18. Apr. 2020

Akzeptiert: 02. Juni 2020

DOI: https://doi.org/10.2478/amtsb-2020-0027

Schlüsselwörter
aortic stenosis, heart failure, aortic valve replacement, pulmonary thromboembolism

© 2020 Alexandra Stoica et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Decompensated Aortic Stenosis in a Young Patient with Multiple Comorbidities - A Case Report

Online veröffentlicht: 03. Aug. 2020

Seitenbereich: 39 - 41

Eingereicht: 18. Apr. 2020

Akzeptiert: 02. Juni 2020

DOI: https://doi.org/10.2478/amtsb-2020-0027

Schlüsselwörteraortic stenosis, heart failure, aortic valve replacement, pulmonary thromboembolism

© 2020 Alexandra Stoica et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Schlüsselwörter
aortic stenosis, heart failure, aortic valve replacement, pulmonary thromboembolism