A 22-year-old man was admitted with a known history of congenital aortic insufficiency
(AI) after a 6-month history of worsening dyspnea on exertion, fatigue, and paroxysmal
atrial fibrillation. His past medical history was significant for cocaine, marijuana,
heroin, and tobacco abuse. He denied fevers, chills, rigors, or night sweats. A complete
blood count revealed no abnormal leukocytosis. Medications included amlodipine, aspirin,
and amiodarone. Echocardiogram revealed severe left ventricular (LV) dilatation (LV
diastolic diameter 79 mm), severe AI, and a LV ejection fraction of 70% to 75%. Cardiac
catheterization confirmed severe AI, LV ejection fraction of 55%, LV end-diastolic
pressure of 30 mmHg, with right ventricular and pulmonary arterial pressures of 26/8
and 26/16, respectively.
Keywords
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Article info
Footnotes
☆Support was provided solely from institutional and/or departmental funds.
☆☆Address reprint requests to Gregory M. Janelle, MD, Department of Anesthesiology, University of Florida College of Medicine, 1600 SW Archer Rd, Gainesville, FL 32610-0254. E-mail: [email protected]
★1053-0770/03/1702-0023$30.00/0
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Copyright
© 2003 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
