Abstract |
Osler Rendu-Weber (O-R W) disease (hereditary haemorrhagic telangiectasia) is characterized by an anormality of the peripheral blood vessels which often causes recurrent epistaxis. We presented a case of aortic valve replacement for the patient with O-R-W disease. A 75-year-old woman diagnosed as O-R-W disease with chest pain and dyspnea was admitted. Preoperative transthoratic echocardiography showed severe aortic valve stenosis (AS) with a pressure gradient (from left ventricle to ascending aorta) of 72.5 mmHg. Urgent aortic valve replacement (AVR) was performed after preoperative hormonal ( estrogen- progesterone) therapy, that might be effective for bleeding from vascular ectasia. No hemorrhagic tendency was recognized and the postoperative course was uneventful.
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Authors | Yoshimasa Seike, H Sato, M Nagashima, T Hori, H Ishitoya, N Hibino, T Tomino, T Nakata |
Journal | Kyobu geka. The Japanese journal of thoracic surgery
(Kyobu Geka)
Vol. 58
Issue 13
Pg. 1141-4
(Dec 2005)
ISSN: 0021-5252 [Print] Japan |
PMID | 16359013
(Publication Type: Case Reports, English Abstract, Journal Article)
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Topics |
- Aged
- Aortic Valve
(surgery)
- Aortic Valve Stenosis
(surgery)
- Epistaxis
(etiology)
- Female
- Heart Valve Prosthesis Implantation
- Humans
- Telangiectasia, Hereditary Hemorrhagic
(complications)
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