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01-03-2011 | Case Report

Intermittent chest pain with marked ST depression after 13 years of aortic valve replacement

Authors: Takashi Muro, Keiko Maeda, Ryo Otsuka, Kenichi Sugioka, Yoshiki Matsumura, Yasuyuki Sasaki, Hidekazu Hirai, Masanori Sakaguchi, Minoru Yoshiyama

Published in: Journal of Echocardiography | Issue 1/2011

Abstract

An 80-year-old woman who underwent aortic valve replacement with a 19-mm Medtronic Hall prosthetic valve in 1993 was admitted because of intermittent chest pain. Electrocardiography on admission revealed non-specific changes, but electrocardiography during chest pain revealed significant ST depression. Coronary angiography revealed no significant stenosis. Echocardiography revealed intermittent severe aortic regurgitation and incomplete closure of the prosthetic valve in diastole. An urgent operation was performed, and abnormal pannus formation was observed at the left ventricular side of the prosthetic valve. In this case, intermittent diastolic valvular sticking caused severe aortic regurgitation and induced serious myocardial ischemia.

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Title: Intermittent chest pain with marked ST depression after 13 years of aortic valve replacement
Authors: Takashi Muro
Keiko Maeda
Ryo Otsuka
Kenichi Sugioka
Yoshiki Matsumura
Yasuyuki Sasaki
Hidekazu Hirai
Masanori Sakaguchi
Minoru Yoshiyama
Publication date: 01-03-2011
Publisher: Springer Japan
Published in: Journal of Echocardiography / Issue 1/2011
Print ISSN: 1349-0222
Electronic ISSN: 1880-344X
DOI: https://doi.org/10.1007/s12574-010-0064-7

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Intermittent chest pain with marked ST depression after 13 years of aortic valve replacement

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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