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Severe Bioprosthetic Mitral Valve Stenosis and Heart Failure in a Young Woman with Systemic Lupus Erythematosus
المؤلفون المشاركون
Moskovits, Manfred
Sadiq, Adnan
Shani, Jacob
Wartak, Siddharth
Akkad, Isaac
Crooke, Gregory
Frankel, Robert
Hollander, Gerald
المصدر
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-3، 3ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-08-17
دولة النشر
مصر
عدد الصفحات
3
التخصصات الرئيسية
الملخص EN
A 23-year-old African American woman with a past medical history of systemic lupus erythematous (SLE), secondary hypertension, and end stage renal disease (ESRD) on hemodialysis for eight years was stable until she developed symptomatic severe mitral regurgitation with preserved ejection fraction.
She underwent a bioprosthetic mitral valve replacement (MVR) at outside hospital.
However, within a year of her surgery, she presented to our hospital with NYHA class IV symptoms.
She was treated for heart failure but in view of her persistent symptoms and low EF was considered for heart and kidney transplant.
This was a challenge in view of her history of lupus.
We presumed that her stenosis of bioprosthetic valve was secondary to lupus and renal disease.
We hypothesized that her low ejection fraction was secondary to mitral stenosis and potentially reversible.
We performed a dobutamine stress echocardiogram, which revealed an improved ejection fraction to more than 50% and confirmed preserved inotropic contractile reserve of her myocardium.
Based on this finding, she underwent a metallic mitral valve and tricuspid valve replacement.
Following surgery, her symptoms completely resolved.
This case highlights the pathophysiology of lupus causing stenosis of prosthetic valves and low ejection cardiomyopathy.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Wartak, Siddharth& Akkad, Isaac& Sadiq, Adnan& Crooke, Gregory& Moskovits, Manfred& Frankel, Robert…[et al.]. 2016. Severe Bioprosthetic Mitral Valve Stenosis and Heart Failure in a Young Woman with Systemic Lupus Erythematosus. Case Reports in Cardiology،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100315
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Wartak, Siddharth…[et al.]. Severe Bioprosthetic Mitral Valve Stenosis and Heart Failure in a Young Woman with Systemic Lupus Erythematosus. Case Reports in Cardiology No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1100315
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Wartak, Siddharth& Akkad, Isaac& Sadiq, Adnan& Crooke, Gregory& Moskovits, Manfred& Frankel, Robert…[et al.]. Severe Bioprosthetic Mitral Valve Stenosis and Heart Failure in a Young Woman with Systemic Lupus Erythematosus. Case Reports in Cardiology. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100315
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1100315
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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