ISSN: 2155-9880
+44 1300 500008
Kane A
Senegal
Case Report
Unusual Cause of Severe Aortic Stenosis: Familial Hypercholesterolemia: A Case Report
Author(s): Dioum M, Fall L, Leye M, Cisse F, Diagne JP, Ndao SCT, Diao M, Diop IB and Kane ADioum M, Fall L, Leye M, Cisse F, Diagne JP, Ndao SCT, Diao M, Diop IB and Kane A
The main etiology of aortic stenosis in Africa is rheumatic fever in middle-age adults. We report the case of an aortic stenosis probably due to familial dyslipidemia. A patient of 24 years, male, was referred by his dermatologist for investigation of exertional dyspnea. Physical examination revealed regular heart sounds with a systolic murmur 4/6 at the aortic valve area and abolition of B2. There was no sign of heart failure. Lipid dosage showed high LDL and total cholesterol levels, 5.42 g/L and 6.23 g/L respectively. Triglyceride and HDL cholesterol levels were normal: 0.70 g/L and 0.62 g/L. Echocardiography found severe aortic stenosis with an aortic valve area of 0.6 cm2; a mean gradient of 68 mmHg and a maximum aortic jet velocity of 5.32 m/s. Coronary angiogram showed slight atheroma but angiographically normal coronary arteries. Dermatological examination showed tu.. View More»
DOI:
10.4172/2155-9880.1000490