El síndrome de heterotaxia es una patología poco común que se presenta debido a una disrupción durante el desarrollo embrionario de la orientación del eje, que puede llevar a múltiples alteraciones en la presencia, localización y función de órganos toracobdominales.
El síndrome de Heyde es un diagnóstico poco usual, descrito por primera vez en 1958. Es la asociación de sangrado gastrointestinal por angiodisplasia y estenosis aórtica calcificada, siendo ambos procesos degenerativos en conjunto con un déficit adquirido tipo IIA del factor Von Willebrand (FvW). Se presenta el caso de un paciente con historia de disnea y dolor torácico asociado a sangrado gastrointestinal, con posterior diagnóstico de estenosis aórtica, con posterior reemplazo válvula aórtica transcatéter (TAVR).
Fistulas are part of the complications of bacterial endocarditis, which have low prevalence according to this pathology. We present a case of a patient with unknown personal pathological history, who had two weeks of fever, associated with poor general condition. In an echocardiogram it is described an aortic insufficiency, associated with the presence of a vegetation and a fistula on the right valve, which is treated by mechanical aortic valve replacement, with adequate evolution.
KEY WORDSBacterial endocarditis.Fistula. Aortic insufficiency.
CASO CLÍNICORev Cl EMed UCR www.revistaclinicahsjd.ucr.ac.cr junio 2017
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