Persisting symptoms, diastolic dysfunction and decreased coronary flow reserve after succesful correction of aortic recoarctation

Česká verzia

Authors: M. Šebo ¹; T. Zatočil ¹; A. Nečasová ¹; T. Brychta ¹; J. Černý ²; P. Kala ¹; J. Špinar ¹
Authors place of work: Interní kardiologická klinika Lékařské fakulty MU a FN Brno, pracoviště Bohunice, přednosta prof. MU Dr. Jindřich Špinar, CSc., FESC, 2Centrum kardiovaskulární a transplantační chirurgie Brno, ředitel doc. MU Dr. Petr Němec, CSc. ¹
Published in the journal: Vnitř Lék 2010; 56(3): 247-250
Category: Case Reports

Summary

We present a case of a 53‑year- old woman undergoing successful surgical treatment of coarcation restenosis after patch grafting in childhood. Despite the optimal result of the operation, normal left ventricle systolic function and coronary angiogram, majority of symptoms, such as angina and dyspnea, persist 16 months after the intervention. In further investigation, pathological values of left ventricular end‑diastolic pressure (LVEDP = 30 mm Hg) and coronary flow reserve (CFR = 1.3) were confirmed, implicating recoarctation to be the unusual cause of cardiac syndrome X.

Key words:
recoarctation – diastolic dysfunction – coronary flow reserve

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