Pretrvávajúce symptómy, diastolická dysfunkcia a nízka koronárna rezerva u pacientky pro úspešněj korekcií rekaoarktácie aorty

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

ŠEBO Marek ZATOČIL Tomáš NEČASOVÁ Anna BRYCHTA Tomáš ČERNÝ J. KALA Petr ŠPINAR Jindřich

Year of publication 2010
Type Article in Periodical
Magazine / Source Vnitřní lékařství
MU Faculty or unit

Faculty of Medicine

Citation
Field Cardiovascular diseases incl. cardiosurgery
Keywords recoarctation; diastolic dysfunction; coronary flow reserve
Description 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.

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