Deutsche medizinische Wochenschrift (1946) · 2010
[A patient with aortic valve stenosis and severe obstruction of the left ventricular outflow tract: a diagnostic challenge].
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Nentwich Karin, Flachskampf F A
Аннотация
HISTORY AND ADMISSION FINDINGS: A 83-year-old male patient was admitted with dyspnoe and paroxysmal atrial fibrillation. A severe aortic stenosis was diagnosed 9 months before.
INVESTIGATIONS: Echocardiography now revealed severe obstruction of the left ventricular outflow tract, as part of an obstructive cardiomyopathy, mild aortic valve stenosis and mark4d left atrial dilatation.
THERAPY AND COURSE: After spontaneous conversion into sinus rhythm the patient remained asymptomatic and continuing conservative treatment was recommended.
CONCLUSION: It may be difficult to diagnose the correct components of systolic obstruction when there is both obstructive cardiomyopathy and aortic valve stenosis and thus decide on the optimal management of such a case.
INVESTIGATIONS: Echocardiography now revealed severe obstruction of the left ventricular outflow tract, as part of an obstructive cardiomyopathy, mild aortic valve stenosis and mark4d left atrial dilatation.
THERAPY AND COURSE: After spontaneous conversion into sinus rhythm the patient remained asymptomatic and continuing conservative treatment was recommended.
CONCLUSION: It may be difficult to diagnose the correct components of systolic obstruction when there is both obstructive cardiomyopathy and aortic valve stenosis and thus decide on the optimal management of such a case.