%0 Journal Article
%T Clinical Case: Place of Cardiac Stimulation in Asymptomatic Significant Chronic Aortic Insufficiency Associated with Sinus Dysfunction
%A Adam Ahamat Ali
%A Christophe Geyer
%J World Journal of Cardiovascular Diseases
%P 621-627
%@ 2164-5337
%D 2019
%I Scientific Research Publishing
%R 10.4236/wjcd.2019.99054
%X The association between
aortic insufficiency and sinus dysfunction is rare. We reported a case of significant
chronic degenerative aortic insufficiency associated with sinus dysfunction.
This was a 66-year-old patient on follow-up for asymptomatic chronic aortic
insufficiency who was referred to us for a preoperative invasive hemodynamic
assessment. The indication for surgery was based on the left ventricular
dilation criteria. The echocardiography and cardiac catheterization showed a
disappearance between the aortic insufficiency and the left ventricular
repercussion. Upon discovery of the sinus bradycardia, the patient received a
single chamber pacemaker set at a base rate of 70 seconds in AAIR at first and
then the patient </span><span style=\"line-height:1.5;font-family:Verdana;\">was </span><span style=\"line-height:1.5;font-family:Verdana;\">measured remotely. At five months, cardiac pacing resulted in a significant
reduction in the left ventricular diameter and volume on the echocardiography
and magnetic resonance imaging</span><span style=\"line-height:1.5;font-family:Verdana;\">;</span><span style=\"line-height:1.5;font-family:Verdana;\"> therefore surgery was postponed.
%K Aortic Insufficiency
%K Sinus Dysfunction
%K Cardiac Stimulation
%K Sainte Clotilde Clinic
%K Reunion Island
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=94811