Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website https://www.journalmc.org

Case Report

Volume 14, Number 5, May 2023, pages 149-154

A Rare Case of Congestive Heart Failure due to Isolated Aortic Valve Disease in a Middle-Aged Man Secondary to Rheumatic Fever

Figures

Figure 1.
Figure 1. Parasternal short axis view of aortic valve, showing severely calcified aortic leaflets. AV: aortic valve.
Figure 2.
Figure 2. Parasternal long axis view showing left ventricular hypertrophy and severely dilated left atrium and calcified aortic valves. LV: left ventricle; LA: left atrium; AV: aortic valve.
Figure 3.
Figure 3. Parasternal long axis view showing severe aortic regurgitation. RV: right ventricle; LV: left ventricle; LA: left atrium; AO: aorta; AR: aortic regurgitation.
Figure 4.
Figure 4. TEE showing aortic valve area by planimetry (1.0 cm2). TEE: transesophageal echocardiography; AV: aortic valve.

Table

Table 1. Initial Laboratory Values on Admission
 
Test resultValueReference range
ProBNP: pro-brain natriuretic peptide; TSH: thyroid-stimulating hormone.
White blood count5.164.50 - 10.90 × 109/L
Hemoglobin11.812 - 16 g/dL
Platelets207,000150,000 - 450,000/L
Aspartate transaminase3410 - 35 U/L
Alanine transaminase41 (high)10 - 31 U/L
Blood urea nitrogen118.0 - 23.0 mg/dL
Creatinine1.090.5 - 0.9 mg/dL
Erythrocyte sedimentation rate25 (high)0 - 20 mm/h
C-reactive protein14.59 (high)0 - 3 mg/dL
Troponin T0.010< 0.010 ng/dL
ProBNP2,772 (high)< 125 pg/mL
TSH2.8600.4 - 4.0 µU/mL
Glucose10270 - 110 mg/dL