Abstract:
:A 68-year-old woman was admitted to hospital because of chronic heart failure. The cause was a left-right shunt between the left sinus of Valsalva and the right atrium. The patient underwent surgery with shunt closure. Intraoperatively, the ramus circumflexus of the coronary artery was occluded. 2.5 years later the patient was readmitted to hospital. There was acute heart failure caused by an ischemic mitral regurgitation III degrees . A planned mitral valve replacement and operative myocardial revascularization were not performed because the patient developed a drug-induced hepatotoxic failure under phenprocoumon.
journal_name
Herzjournal_title
Herzauthors
Felgendreher R,Cuneo A,Hochreuther S,Härtel D,Tebbe Udoi
10.1007/s00059-009-3216-7subject
Has Abstractpub_date
2009-05-01 00:00:00pages
242-6issue
3eissn
0340-9937issn
1615-6692journal_volume
34pub_type
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