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GIUSEPPE BRANCATELLI

CHRONIC ATRIAL FIBRILLATION IN PRESENCE OF AORTIC STENOSIS IN A PATIENT WITH POLYSPLENIA SYNDROME

  • Authors: Bronte, E; Trovato, RL; Di Miceli, R; Sucato, V; Candela, P; Brancatelli, G; Novo, S
  • Publication year: 2013
  • Type: Articolo in rivista (Articolo in rivista)
  • Key words: Polysplenia, Aortic Stenosis, Atrial Fibrillation
  • OA Link: http://hdl.handle.net/10447/103847

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