Case report of a 63-year-old man presenting with increasing congestive heart failure and a complex medical history including a prosthetic aortic valve.
Alerts clinicians to rare prosthetic valve complications in refractory HF; leaves open generalizability pending prospective studies.
Presentation of CaseA 63-year-old man was admitted to the hospital because of increasing congestive heart failure.He had diabetes of 15 years' duration, managed with diet and tolbutamide. Seven years before admission there was a transient episode of dysphasia, accompanied by right brachiofacial monoparesis. Three years before entry a prosthetic aortic valve was inserted because of aortic stenosis with atrial fibrillation and congestive heart failure; the procedure was complicated by a bleeding duodenal ulcer. Thereafter, he was maintained on warfarin therapy. Several months before admission indomethacin was given because of acute gouty arthritis. Three months before entry a dentist . . .
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Cabot et al. (1972) studied this question.
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