An Unexpected Finding During Aortic Valve Replacement and Coronary Artery Surgery
A 71-YEAR-OLD, 83-kg, 180-cm man with a history of obstructive sleep apnea and hyperlipidemia presented to the authors ’ institution complaining of chest pain and dyspnea on exertion. The physical examination revealed a previously unrecognized systolic murmur. Transthoracic echocardiography showed severe aortic valve stenosis and concentric left ventricular (LV) pressure-overload hypertrophy. LV systolic function was preserved. Cardiac magnetic resonance imaging was performed to assess for possible asymmetric septal hypertrophy.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Lonnie Dye, Madhuri Setaluri, Kiran N. Chandrashekarappa, Lyle D. Joyce, Dhiraj Baruah, Paul S. Pagel, Brent T. Boettcher Tags: Diagnostic Dilemma Source Type: research
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