A patient with diagnosed bicuspid aortic valve, mild aortic regurgitation was hospitalized in 2014 with symptoms of chronic heart failure (CHF; New York Heart Association [NYHA], clas II), multiple unexplained… Click to show full abstract
A patient with diagnosed bicuspid aortic valve, mild aortic regurgitation was hospitalized in 2014 with symptoms of chronic heart failure (CHF; New York Heart Association [NYHA], clas II), multiple unexplained ventricular and supraventricular arrhythmias, episodes of supraventricular tachycardia, paroxysmal atrial fibrillation and preserved ejection fraction (EF; 55%). Coronary angiography showed nonsignificant atherosclerosis. In 2015 he was admitted with CHF symptoms (NYHA III) and multiple supraventricular arrhythmias. Echocardiography (ECHO) showed global left ventricular (LV) hypokinesis, reduced EF (40%) and no signs of aortic valve and interventricular septum (IVS) distortion. Until now the cardiac inflammatory process was not established.
               
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