title: [Severe valvular aortic stenosis in a 78-year-old woman].
abstract: We present a case of a 78-year-old woman with severe valvular aortic stenosis which was diagnosed for the first time ever in our department despite the patient having been treated by general practitioners for several years because of diabetes mellitus. The patient complained of recurrent syncope, effort dyspnea and angina. During echocardiographic evaluation calcified stenotic aortic valve with extremely high maximal aortic gradient (199 mmHg) was found. The patient was qualified for surgical intervention. She died several hours after aortic valve replacement because of an acute aortic rupture and massive pericardial bleeding.
authors.affiliation: II Katedra i Klinika Kardiologii, Uniwersytet Medyczny, ul Kniaziewicza 1/5, 91-347 Łódź, Poland. kurpesa@ptkardio.pl
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Kurpesa
authors.forename: Anna
authors.initials: A
authors.lastname: Kierus-Gudaj
authors.forename: Tomasz
authors.initials: T
authors.lastname: Rechciński
authors.forename: Jarosław
authors.initials: J
authors.lastname: Kasprzak
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Marszal-Marciniak
authors.forename: Witold
authors.initials: W
authors.lastname: Pawłowski
authors.forename: Maria
authors.initials: M
authors.lastname: Krzemińska-Pakuła
mesh_terms: D000368:Aged; D001019:Aortic Rupture / Q000209:etiology*; D001024:Aortic Valve Stenosis / Q000175:diagnosis* / Q000601:surgery; D002114:Calcinosis / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D017809:Fatal Outcome; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D010490:Pericardial Effusion / Q000209:etiology