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
Bronte, E., Trovato, R.L., Di Miceli, R., Sucato, V., Candela, P., Brancatelli, G., et al. (2013). CHRONIC ATRIAL FIBRILLATION IN PRESENCE OF AORTIC STENOSIS IN A PATIENT WITH POLYSPLENIA SYNDROME. ACTA CLINICA BELGICA, 68(6), 442-443 [10.2143/ACB.3378].
CHRONIC ATRIAL FIBRILLATION IN PRESENCE OF AORTIC STENOSIS IN A PATIENT WITH POLYSPLENIA SYNDROME
Sucato, V;BRANCATELLI, Giuseppe;NOVO, Salvatore
2013-01-01
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
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