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Ein Patient mit Aortenstenose und schwerer Ausflussbahn-Obstruktion: eine diagnostische Herausforderung [A patient with aortic valve stenosis and severe obstruction of the left ventricular outflow tract: a diagnostic challenge]
Bamberg Sozialstiftung Hospital, Bamberg, Germany.
Medizinische Klinik 2, Universitätsklinikum Erlangen. (UCR)
2010 (German)In: Deutsche Medizinische Wochenschrift, ISSN 0012-0472, Vol. 135, no 20, 1016-1019 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Georg Thieme Verlag , 2010. Vol. 135, no 20, 1016-1019 p.
Keyword [en]
aortic valve stenosis, hypertrophic obstructive cardiomyopathy, echocardiography, atrial fibrillation
National Category
Cardiac and Cardiovascular Systems
Research subject
Medical Science
URN: urn:nbn:se:uu:diva-140291DOI: 10.1055/s-0030-1253691ISI: 000277565600004OAI: oai:DiVA.org:uu-140291DiVA: diva2:383381
Available from: 2011-01-05 Created: 2011-01-04 Last updated: 2011-01-19Bibliographically approved

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