Critical Aortic Stenosis with Severe Congestive Heart Failure
Authors: Ghassan F. Salman, Timothy L. Blackburn
Journal: Annals of Internal Medicine (2001)

Letters21 August 2001Critical Aortic Stenosis with Severe Congestive Heart FailureGhassan F. Salman, MD, MPH and Timothy L. Blackburn, MDGhassan F. Salman, MD, MPHGreensburg Family Practice, Greensburg, KS 67054 (Salman, Blackburn)Search for more papers by this author and Timothy L. Blackburn, MDGreensburg Family Practice, Greensburg, KS 67054 (Salman, Blackburn)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-135-4-200108210-00026 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We describe a 62-year-old man with critical aortic stenosis and severe congestive heart failure whose left ventricular dysfunction normalized after aortic valve replacement. He had three-vessel coronary artery disease and an aortic valve area of 0.78 cm2. Ejection fraction was 0.10 to 0.15, and functional status was New York Heart Association (NYHA) class IV. On rest-redistribution 201-Tl scintigraphy, the patient had a mild defect in the inferior wall, but all other segments of his myocardium were normal. Six months after aortic valve replacement and coronary revascularization, ejection fraction improved to 0.53 and functional status improved to NYHA ...References1. Connolly HM, Oh JK, Orszulak TA, Osborn SL, Roger VL, Hodge DO, et al . Aortic valve replacement for aortic stenosis with severe left ventricular dysfunction. Prognostic indicators. Circulation. 1997;95:2395-400. [PMID: 0009170402] CrossrefMedlineGoogle Scholar2. Morris JJ, Schaff HV, Mullany CJ, Rastogi A, McGregor CG, Daly RC, et al . Determinants of survival and recovery of left ventricular function after aortic valve replacement. Ann Thorac Surg. 1993;56:22-9. [PMID: 0008328871] CrossrefMedlineGoogle Scholar3. Ragosta M, Beller GA, Watson DD, Kaul S, Gimple LW. Quantitative planar rest-redistribution 201Tl imaging in detection of myocardial viability and prediction of improvement in left ventricular function after coronary bypass surgery in patients with severely depressed left ventricular function. Circulation. 1993;87:1630-41. [PMID: 0008491019] CrossrefMedlineGoogle Scholar4. Pagley PR, Beller GA, Watson DD, Gimple LW, Ragosta M. Improved outcome after coronary bypass surgery in patients with ischemic cardiomyopathy and residual myocardial viability. Circulation. 1997;96:793-800. [PMID: 0009264484] CrossrefMedlineGoogle Scholar5. Di Carli MF, Asgarzadie F, Schelbert HR, Brunken RC, Laks H, Phelps ME, et al . Quantitative relation between myocardial viability and improvement in heart failure symptoms after revascularization in patients with ischemic cardiomyopathy. Circulation. 1995;92:3436-44. [PMID: 0008521565] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Greensburg Family Practice, Greensburg, KS 67054 (Salman, Blackburn) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 21 August 2001Volume 135, Issue 4Page: 304KeywordsAortic valveAortic valve replacementCoronary revascularizationEjection fractionHeart failureMyocardiumPositron emission tomographyRadionuclide imagingStable coronary artery diseaseStenosis ePublished: 21 August 2001 Issue Published: 21 August 2001 CopyrightCopyright © 2001 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...