A rare case of recurrent polychondritis with aortic valve involvement
The article presents a clinical case of aortic valve disease and recurrent polychondritis (autoimmune disease) with lesions of cartilage tissue in 68-year-old patient admitted to a cardiac surgery clinic due to need for surgical treatment of aortic heart disease. The results of laboratory and instru...
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| Format: | Article |
| Language: | English |
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TOV Chetverta Khvylia
2018-11-01
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| Series: | Кардіохірургія та інтервенційна кардіологія |
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| Online Access: | http://www.csic.com.ua/images/pdf/2018/4-2018/rare-case-of-recurrent-polychondritis-with-aortic-valve-involvement.pdf |
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| author | N.V. Bortniak O.A. Yepanchintseva G.I. Kovtun S.I. Dorofeieva O.S. Chumak G.M. Prus O.J. Zharinov B.M. Todurov |
| author_facet | N.V. Bortniak O.A. Yepanchintseva G.I. Kovtun S.I. Dorofeieva O.S. Chumak G.M. Prus O.J. Zharinov B.M. Todurov |
| author_sort | N.V. Bortniak |
| collection | DOAJ |
| description | The article presents a clinical case of aortic valve disease and recurrent polychondritis (autoimmune disease) with lesions of cartilage tissue in 68-year-old patient admitted to a cardiac surgery clinic due to need for surgical treatment of aortic heart disease. The results of laboratory and instrumental studies, as well as the morphological study of remote aortic valve are provided. Signs of a recurrent polychondritis appeared in a patient 10 years ago, but the diagnosis was erroneous at the onset of the disease. The most serious and prognostically unfavorable complication was damage to the cardiovascular system – a combined aortic heart disease with a predominance of stenosis with rapidly increasing circulatory decompensation. Because recurrent polychondritis is a rare pathology, due to low awareness and low alertness of physicians, correct diagnosis is established only in 68 % of recurrent polychondritis patients after one year. In diagnosis of this disease, it is necessary to take into account that one of the manifestations of recurrent polychondritis is a typical lesion of cartilaginous part of the ears (edema of the cartilaginous part of auricles). |
| format | Article |
| id | doaj-art-c40370a24f7c43ca88426eb6b272eedd |
| institution | Kabale University |
| issn | 2305-3127 |
| language | English |
| publishDate | 2018-11-01 |
| publisher | TOV Chetverta Khvylia |
| record_format | Article |
| series | Кардіохірургія та інтервенційна кардіологія |
| spelling | doaj-art-c40370a24f7c43ca88426eb6b272eedd2025-02-03T00:54:48ZengTOV Chetverta KhvyliaКардіохірургія та інтервенційна кардіологія2305-31272018-11-012343641doi.org/10.31928/2305-3127-2018.4.3641A rare case of recurrent polychondritis with aortic valve involvementN.V. Bortniak0O.A. Yepanchintseva1G.I. Kovtun2S.I. Dorofeieva3O.S. Chumak4G.M. Prus5O.J. Zharinov6B.M. Todurov7Heart Institute, Ministry of Health of Ukraine, Kyiv, UkraineHeart Institute, Ministry of Health of Ukraine, Kyiv, Ukraine, Shupyk National Medical Academy of Postgraduate Education, Kyiv, UkraineHeart Institute, Ministry of Health of Ukraine, Kyiv, Ukraine M.M. Amosov National Institute of Cardiovascular Surgery of NAMS of Ukraine, Kyiv, Ukraine M.M. Amosov National Institute of Cardiovascular Surgery of NAMS of Ukraine, Kyiv, Ukraine M.M. Amosov National Institute of Cardiovascular Surgery of NAMS of Ukraine, Kyiv, UkraineShupyk National Medical Academy of Postgraduate Education, Kyiv, UkraineHeart Institute, Ministry of Health of Ukraine, Kyiv, Ukraine, Shupyk National Medical Academy of Postgraduate Education, Kyiv, UkraineThe article presents a clinical case of aortic valve disease and recurrent polychondritis (autoimmune disease) with lesions of cartilage tissue in 68-year-old patient admitted to a cardiac surgery clinic due to need for surgical treatment of aortic heart disease. The results of laboratory and instrumental studies, as well as the morphological study of remote aortic valve are provided. Signs of a recurrent polychondritis appeared in a patient 10 years ago, but the diagnosis was erroneous at the onset of the disease. The most serious and prognostically unfavorable complication was damage to the cardiovascular system – a combined aortic heart disease with a predominance of stenosis with rapidly increasing circulatory decompensation. Because recurrent polychondritis is a rare pathology, due to low awareness and low alertness of physicians, correct diagnosis is established only in 68 % of recurrent polychondritis patients after one year. In diagnosis of this disease, it is necessary to take into account that one of the manifestations of recurrent polychondritis is a typical lesion of cartilaginous part of the ears (edema of the cartilaginous part of auricles).http://www.csic.com.ua/images/pdf/2018/4-2018/rare-case-of-recurrent-polychondritis-with-aortic-valve-involvement.pdfrecurrent polychondritiscardiovascular system involvementmorphology |
| spellingShingle | N.V. Bortniak O.A. Yepanchintseva G.I. Kovtun S.I. Dorofeieva O.S. Chumak G.M. Prus O.J. Zharinov B.M. Todurov A rare case of recurrent polychondritis with aortic valve involvement Кардіохірургія та інтервенційна кардіологія recurrent polychondritis cardiovascular system involvement morphology |
| title | A rare case of recurrent polychondritis with aortic valve involvement |
| title_full | A rare case of recurrent polychondritis with aortic valve involvement |
| title_fullStr | A rare case of recurrent polychondritis with aortic valve involvement |
| title_full_unstemmed | A rare case of recurrent polychondritis with aortic valve involvement |
| title_short | A rare case of recurrent polychondritis with aortic valve involvement |
| title_sort | rare case of recurrent polychondritis with aortic valve involvement |
| topic | recurrent polychondritis cardiovascular system involvement morphology |
| url | http://www.csic.com.ua/images/pdf/2018/4-2018/rare-case-of-recurrent-polychondritis-with-aortic-valve-involvement.pdf |
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