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September 19, 2026Journal of Surgical Case ReportsOpen Access

SAVR in a Churg-Strauss patient reveals unusual blue aortic intima complicated by cardiac tamponade.

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Why the study?

Large-vessel involvement in Churg-Strauss syndrome is exceptional and perioperative challenges during cardiac surgery in these patients are not well described.

Population

72-year-old woman with Churg-Strauss syndrome and severe low-flow, low-gradient aortic stenosis with LVEF 15%

Design

Case report

Follow-up

Postoperative period until discharge to rehabilitation

Key result

Surgical aortic valve replacement in a 72-year-old woman with Churg-Strauss syndrome revealed an unusual blue discolouration of the ascending aortic intima and was complicated by cardiac tamponade.

Authors

AGAditya GaurDRDavid RoseMTMarcus Taylor

Discussion

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Overview

Alerts clinicians to possible large-vessel aortic involvement in Churg-Strauss syndrome; hypothesis-generating for perioperative risks and further study.

Key Points

  • Describe an atypical finding of ascending aortic discolouration and manage perioperative complications in a patient with Churg-Strauss syndrome undergoing surgical aortic valve replacement.
  • Evaluated a 72-year-old female with Churg-Strauss syndrome and severe low-flow, low-gradient aortic stenosis (left ventricular ejection fraction 15%) via a multidisciplinary Heart Team.
  • Conducted surgical aortic valve replacement with direct intraoperative aortic inspection and postoperative intensive monitoring.
  • Intraoperative inspection revealed an unexpected blue discolouration across the intima of the ascending aorta.
  • The postoperative course was complicated by cardiac tamponade that necessitated urgent surgical reintervention, followed by extended recovery and rehabilitation discharge.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 72-year-old woman with Churg-Strauss syndrome and severe low-flow, low-gradient aortic stenosis undergoing surgical aortic valve replacement.
I
Intervention
Surgical aortic valve replacement

This case expands the spectrum of vascular manifestations in Churg-Strauss syndrome to include large-vessel involvement (ascending aorta) and highlights potential perioperative challenges during cardiac surgery.

Cite This Study

Gaur et al. (2026) conducted a case report in Churg-Strauss syndrome and severe low-flow, low-gradient aortic stenosis (n=1). Surgical aortic valve replacement was evaluated. Surgical aortic valve replacement in a 72-year-old woman with Churg-Strauss syndrome revealed an unusual blue discolouration of the ascending aortic intima and was complicated by cardiac tamponade.

synapsesocial.com/papers/6aae47640c69660b71ecc64ehttps://doi.org/10.1093/jscr/rjag818
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Aortic regurgitation and Churg-Strauss syndrome2005 · 5 citations
  2. 2Imaging signatures of eosinophilic granulomatosis with polyangiitis–related myocarditis: A case report2026
  3. 3Unmasking of Churg–Strauss Syndrome in an Asthmatic2024
  4. 4Looking Beyond Pneumonia and Asthma in India: An Interesting Case of Churg-Strauss Syndrome2024
  5. 5P115 | Churg-Strauss syndrome presenting with pericarditis2025