Premium
Necrotizing Vasculitis: A Cause of Aortic Insufficiency and Conduction System Disturbance
Author(s) -
Gómez Pérez Miquel,
Serés García Lluís,
Olivé Marqués Alejandro,
López Ayerbe Jorge,
Larrousse Pérez Eduardo,
Arís Alejandro,
Valle Tudela Vicente
Publication year - 2003
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1046/j.1540-8175.2003.02133.x
Subject(s) - medicine , cardiology , vasculitis , necrotizing vasculitis , regurgitation (circulation) , atrioventricular block , thickening , aortic valve , aortic valve replacement , stenosis , disease , chemistry , polymer science
Cardiac involvement in vasculitis syndromes is uncommon. We describe a 50‐year‐old male who presented with progressive dyspnea and myalgies. Echocardiogram revealed significant thickening of aortic root, aortic cusps, and anterior mitral valve leaflet, with severe aortic regurgitation that required aortic valve replacement. Furthermore, this patient suffered progressive atrioventricular block that needed implantation of a pacemaker. The study performed disclosed the presence of necrotizing vasculitis positive for perinuclear antineutrophil cytoplasmic antibody. (ECHOCARDIOGRAPHY, Volume 20, October 2003)