A rare instance of multiple valvular lesions in a patient with Wegener's granulomatosis.
Wegener's granulomatosis (WG) is a systemic necrotising vasculitis involving the respiratory and renal tracts. Dual valvular involvement in WG is uncommon. We describe a 52-year-old patient with aortic regurgitation and mitral stenosis due to WG requiring replacement of both valves. We also discuss a strategy for follow-up of asymptomatic WG patients with suspected heart valve involvement.
Koyalakonda
Shiva Prasad
SP
Royal Liverpool University Hospital, Liverpool, UK. koyalashiva@gmail.com
Krishnan
Unni
U
Hobbs
William Julian
WJ
D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D001706:Biopsy; D017548:Echocardiography, Transesophageal; D004804:Eosinophils / Q000473:pathology; D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology