Acute aortic regurgitation

Case contributed by Dr Allam Harfoush

Presentation

Shortness of breath, fever, general weakness and palpitation.

Patient Data

Age: 45 years
Gender: Male
Ultrasound

Hyperdynamic left ventricle, mildly dilated (LVIDd = 61 mm), stroke volume = 50 mL.

Large vegetation on the ventricle side of the aortic cusp (30 × 15 mm).

Severe aortic regurgitation.

Dense continuous-wave Doppler signal with a steep slope (pressure half time <150 ms) indicating severe aortic regurgitation.

Moderate mitral regurgitation.

Case Discussion

This patient presented to the Emergency Department with dyspnea and fever that started a week prior.

Clinical examination revealed bibasilar fine crackles.

Blood culture was obtained immediately, which was negative as the patient had a prior treatment of antibiotics.

After an immediate admission to the intensive care unit, the patient was stabilized and transferred to emergent cardiac surgery.

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Case information

rID: 77174
Published: 6th May 2020
Last edited: 7th May 2020
System: Cardiac
Inclusion in quiz mode: Included
Institution: Tishreen University Hospital

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