Cor Vasa 2014, 56(5):e424-e426 | DOI: 10.1016/j.crvasa.2014.02.007

Ventricular fibrillation associated with aortic stenosis and coronary cascade

Ľubomír Rusňák*, Martin Fiala, Igor Nykl, Jaroslav Januška, Marian Branny
Kardiologické oddělení, Nemocnice Podlesí, a. s., Třinec, Česká republika

We report a case of a patient with severe aortic stenosis in the setting of bicuspid valve and coronary cascade, who was successfully resuscitated from ventricular fibrillation occurring during physical exertion. Both conditions may cause steal effect leading to myocardial ischemia and ensuing ventricular tachyarrhythmia. Following replacement of the aortic valve by mechanical valve prosthesis, the patients declined implantation of cardioverter-defibrillator rendering doubts about possible independent association between ventricular fibrillation and coronary cascade.

Keywords: Aortic stenosis; Coronary cascade; Coronary circulation; Ventricular fibrillation

Received: February 3, 2014; Accepted: February 13, 2014; Published: October 1, 2014  Show citation

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Rusňák Ľ, Fiala M, Nykl I, Januška J, Branny M. Ventricular fibrillation associated with aortic stenosis and coronary cascade. Cor Vasa. 2014;56(5):e424-426. doi: 10.1016/j.crvasa.2014.02.007.
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