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: Tags: Diagnostic Dilemma Source Type: research