title: Chronic atrial fibrillation in presence of aortic stenosis in a patient with polysplenia syndrome.
abstract: We report a rare case of "situs viscerum ambiguous" with polysplenia syndrome, in a 69 year old female patient with aortic stenosis and chronic atrial fibrillation. The presenting symptom was dyspnoea on moderate exertion and an ECG showed supra ventricular arrhythmia. Patients trans-thoracic echocardiogram revealed a dilated left atrium, reduced ejection fraction, mild tricuspid regurgitation, moderate-severe pulmonary hypertension and severe aortic stenosis. The patient was successfully treated with a replacement of her aortic valve and ascending aorta.
authors.forename: E
authors.initials: E
authors.lastname: Bronte
authors.forename: Rl
authors.initials: R
authors.lastname: Trovato
authors.forename: R
authors.initials: R
authors.lastname: Di Miceli
authors.forename: V
authors.initials: V
authors.lastname: Sucato
authors.forename: P
authors.initials: P
authors.lastname: Candela
authors.forename: G
authors.initials: G
authors.lastname: Brancatelli
authors.forename: S
authors.initials: S
authors.lastname: Novo
mesh_terms: D000368:Aged; D001011:Aorta / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D001281:Atrial Fibrillation / Q000209:etiology*; D002908:Chronic Disease; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D059446:Heterotaxy Syndrome / Q000150:complications* / Q000000981:diagnostic imaging*; D006801:Humans; D016896:Treatment Outcome
keywords: Aortic Stenosis,; Atrial Fibrillation; Polysplenia,