[Complication of a complex heart failure: perforation of a sinus Valsalva [corrected] aneurysm].
A 68-year-old woman was admitted to hospital because of chronic heart failure. The cause was a left-right shunt between the left sinus of Valsalva and the right atrium. The patient underwent surgery with shunt closure. Intraoperatively, the ramus circumflexus of the coronary artery was occluded. 2.5 years later the patient was readmitted to hospital. There was acute heart failure caused by an ischemic mitral regurgitation III degrees . A planned mitral valve replacement and operative myocardial revascularization were not performed because the patient developed a drug-induced hepatotoxic failure under phenprocoumon.
Felgendreher
Ralf
R
Medizinische Klinik II, Klinikum Lippe Detmold, Röntgenstrasse 18, 32756 Detmold. Ralf-Felgendreher@Klinikum-Lippe.de
Cuneo
Alessandro
A
Hochreuther
Stefan
S
Härtel
Dirk
D
Tebbe
Ulrich
U
D000368:Aged; D013504:Cardiovascular Surgical Procedures / Q000009:adverse effects*; D005260:Female; D006322:Heart Aneurysm / Q000209:etiology*; D006333:Heart Failure / Q000150:complications* / Q000601:surgery*; D006801:Humans; D012850:Sinus of Valsalva / Q000293:injuries*; D014950:Wounds, Penetrating / Q000209:etiology*