Complete Heart Block After Aortic Valve Repair and Septal Myectomy in a Patient With Rheumatic Heart Disease

被引：0

作者：

Moreno, Marvi ^{[1
]}

Ji, Wilbur ^{[2
]}

Yee, Brianna ^{[1
]}

Lei, Kachon ^{[3
]}

Ahsan, Chowdhury ^{[4
]}

机构：

[1] Univ Nevada Las Vegas UNLV, Internal Med, Kirk Kerkorian Sch Med, Las Vegas, NV 89154 USA

[2] Univ Calif San Francisco, Internal Med, San Francisco, CA USA

[3] Univ Nevada Las Vegas UNLV, Kirk Kerkorian Sch Med, Cardiol, Las Vegas, NV USA

[4] Univ Nevada Las Vegas UNLV, Kirk Kerkorian Sch Med, Internal Med & Cardiol, Las Vegas, NV USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 01期

关键词：

preoperative assessment; complete heart block; rheumatic heart disease; aortic valve repair; septal; HYPERTROPHIC CARDIOMYOPATHY;

D O I：

10.7759/cureus.53347

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Surgical myectomy with concomitant valvular repair has been demonstrated to be safe in the treatment of hypertrophic obstructive cardiomyopathy (HOCM). It is unclear which risk factors predispose patients to develop complete heart block (CHB). We present a unique case of a 66-year-old female with rheumatic heart disease and HOCM admitted for aortic valve (AV) repair and septal myectomy, complicated by a presentation of complete heart block. The histology slide showed fibrosis of the septum, suggesting atrioventricular conduction disease from rheumatic fever, which likely contributed to her presentation. This case highlights the importance of elucidating the etiology of HOCM before undergoing cardiac surgery to guide postsurgical management and improve clinical outcomes.

引用

页数：6

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