Case 5 / 2014 - 26-year-old male with moderate stenosis of bivalved aortic valve and dilation of ascending aorta.
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The patient is followed-up since birth with diagnosis of mild stenosis of bivalved aortic valve... Moderate stenosis of bivalved aortic valve with dilation of ascending aorta, in adult patient in functional class II... showed on chest radiography and confirmed on echocardiogram... The data confirmation was The absence of changes of ventricular repolarization on ECG indicates that the pressure gradient does not exceed 60 mmHg... Indication for aortic valve replacement surgery was established with the onset of fatigue symptoms associated with signs of progressive worsening, such With early surgical prescription, we prevent phenomena acquired involved with valvular stenosis, which certainly place a greater risk of evolution. |
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f02: Echocardiogram enhances the stress at the aortic valve level in apical projectionof 5 chambers to the left, and ascending aorta dilated in longitudinal section inleft sternal border, to the right. Mentions: Echocardiogram Bi-Doppler: showed heart chambers with normal size andfunction. There was mild left ventricular hypertrophy with 12 mm thick ventricularseptum and posterior wall. Aortic annulus was 35 mm, ascending aorta was 45 mm andmaximum aortic transvalvular pressure gradient was 60 mmHg, and mean, 45 mmHg. Othermeasurements corresponded to LA = 40, RV = 20, LV = 59, EF = 70%, delta D = 40%, RVSP =25 mmHg (Figure 2). |
View Article: PubMed Central - PubMed
The patient is followed-up since birth with diagnosis of mild stenosis of bivalved aortic valve... Moderate stenosis of bivalved aortic valve with dilation of ascending aorta, in adult patient in functional class II... showed on chest radiography and confirmed on echocardiogram... The data confirmation was The absence of changes of ventricular repolarization on ECG indicates that the pressure gradient does not exceed 60 mmHg... Indication for aortic valve replacement surgery was established with the onset of fatigue symptoms associated with signs of progressive worsening, such With early surgical prescription, we prevent phenomena acquired involved with valvular stenosis, which certainly place a greater risk of evolution.