Improved Clinical Status Following Aortic Valve Replacement in Two Cases with Refractory Ascites Secondary to Aortic Stenosis and Insufficiency
- VernacularTitle:大動脈弁置換術により薬物治療抵抗性腹水が治癒し得た2例
- Author:
Masaomi FUKUZUMI
1
;
Yuki TADOKORO
1
;
Yuta TSUCHIDA
1
;
Yuko GATATE
1
;
Tadamasa MIYAUCHI
1
;
Hiroshi OTAKE
1
;
Takeo TEDORIYA
1
Author Information
- Keywords: ascites; aortic stenosis and insufficiency; aortic valve replacement
- From:Japanese Journal of Cardiovascular Surgery 2021;50(3):188-192
- CountryJapan
- Language:Japanese
- Abstract: Ascites is a rare sign of aortic valve disease. Here, we report two cases of refractory ascites that had resulted from aortic stenosis and insufficiency and consequently improved after aortic valve replacement. The first case was a 44-year-old female who had undergone aortic valve repair for aortic stenosis 15 years earlier. She complained of dyspnea and severe abdominal distension due to unimproved massive ascites despite medical therapy. She was diagnosed with aortic stenosis and insufficiency and functional tricuspid insufficiency as well as complete atrioventricular block. She underwent mechanical aortic valve replacement, tricuspid annuloplasty and DDD pacemaker implantation. The second case was a 61-year-old man with a history of alcoholic liver disease who had been hospitalized for massive ascites, progressing rapidly in spite of aggressive medical therapy. Echocardiography revealed severe aortic stenosis and insufficiency; thus, he underwent bioprosthetic aortic valve replacement. Both patients were completely free from ascites about 6 months after surgery.
