Congestive heart failure due to aortic incompetence with intestinal infarction due to endarteritis obliterans.
A 27-year-old man with congestive heart failure due to aortic incompetence and subsequent intestinal infarction was found at laparotomy to have extensive necrosis of the bowel due to proliferative endarteritis. Symptoms resolved following treatment with prednisolone and cyclophosphamide, and replacement of the aortic valve. The sub-total occlusion produced by endarteritis obliterans may lead to acute end-organ infarction if cardiac output is reduced.
Regional Medical Cardiology Centre, Royal Victoria Hospital, Belfast, N. Ireland.
J A
JA
Purvis
A A
AA
Adgey
M D
MD
O'Hara
D000328:Adult; D001021:Aortic Valve; D001022:Aortic Valve Insufficiency / Q000150:complications* / Q000601:surgery; D002303:Cardiac Output, Low / Q000150:complications; D003082:Colectomy; D004692:Endarteritis / Q000150:complications*; D006333:Heart Failure / Q000209:etiology*; D006350:Heart Valve Prosthesis; D006801:Humans; D007081:Ileostomy; D007238:Infarction / Q000209:etiology*; D007422:Intestines / Q000098:blood supply* / Q000601:surgery; D008297:Male; D010488:Polyarteritis Nodosa / Q000150:complications