title: Austrian syndrome: a clinical rarity.
abstract: We present a case of classical Austrian syndrome in a 55-year-old man with a history of alcoholism. The rapid destruction in aortic valve cusps caused perforations with severe aortic insufficiency, acute pulmonary edema, and determined an urgent aortic valve substitution with good postoperative evolution. The review of the literature suggests cardiac surgery in this syndrome to improve the poor survival with conservative treatment. We recommend early surgery in these cases because of the fast impairment of the patient and valvular tissue destruction detected in intraoperatory examination.
authors.forename: Carlos
authors.initials: C
authors.lastname: Velazquez
authors.forename: Omar
authors.initials: O
authors.lastname: Araji
authors.forename: J Miguel
authors.initials: JM
authors.lastname: Barquero
authors.forename: Enrique
authors.initials: E
authors.lastname: Perez-Duarte
authors.forename: Mariano
authors.initials: M
authors.lastname: Garcia-Borbolla
mesh_terms: D000437:Alcoholism / Q000150:complications; D001022:Aortic Valve Insufficiency / Q000382:microbiology / Q000601:surgery*; D004697:Endocarditis, Bacterial / Q000601:surgery*; D006801:Humans; D008297:Male; D008586:Meningitis, Pneumococcal / Q000601:surgery*; D008875:Middle Aged; D011008:Pneumococcal Infections / Q000601:surgery*; D013577:Syndrome