Therapeutic Research

Abstract

An 80s –year –old female with peak aortic jet velocity of 4.64m/s had been recommended to receive an aortic valve surgery due to severe aortic stenosis. Then she was admitted to our hospital with complaining dyspnea. Her electrocardiogram showed ST segment elevations in leads V1–V5, troponin T was positive and her echocardiogram showed a hypokinesis of left ventricular wall from mid to apex. Soon an emergent coronary angiography was performed due to a diagnosis of acute coronary syndrome but it showed almost normal coronary arteries. She was admitted in a department of intensive care unit and received intravenous carperitide and isosorbide dinitrate etc. continuously and she was recovered. Her peak aortic jet velocity on admission was decreased to 3.75m/s and then it was increased to 4.92m/s again concomitant with an improvement of a left ventricular wall motion. She was transferred to another hospital and received an aortic valve replacement surgery successfully.