Atoe-Imagbe Osagioduwa Mike, Azzu Abdulrahman, Aiwuyo Henry O, Osarenkhoe John O
Medicine, Delta State University Teaching Hospital, Oghara, NGA.
Medicine, Betsi Cadwaladr University Health Board, Bangor, GBR.
Cureus. 2023 Feb 14;15(2):e34973. doi: 10.7759/cureus.34973. eCollection 2023 Feb.
A 73-year-old Jehovah's witness man with a bicuspid aortic valve and a history of epilepsy presented to the emergency room with chest pain and dyspnea. Echocardiography revealed normal left ventricular systolic function, but also revealed severe aortic stenosis and severe mitral regurgitation. Coronary angiography and computerized tomography angiography ruled out any significant coronary artery disease and aortic dissection, respectively. In view of his religious views, transcatheter aortic valve implantation was considered more suitable than aortic valve surgery and was successful with a stable postoperative state. This case reaffirms that autonomy should be maintained while considering the best interest of patients in decision-making.
一名73岁的耶和华见证人男性，患有二叶式主动脉瓣且有癫痫病史，因胸痛和呼吸困难被送往急诊室。超声心动图显示左心室收缩功能正常，但也显示出严重的主动脉瓣狭窄和严重的二尖瓣反流。冠状动脉造影和计算机断层扫描血管造影分别排除了任何显著的冠状动脉疾病和主动脉夹层。鉴于他的宗教信仰，经导管主动脉瓣植入术被认为比主动脉瓣手术更合适，且手术成功，术后状态稳定。该病例再次强调，在决策时应在考虑患者最佳利益的同时维护其自主权。
