The Japanese Journal of Thoracic and Cardiovascular Surgery

, Volume 54, Issue 1, pp 16–18

Stenosis of the bicuspid aortic valve with systemic lupus erythematosus


  • Masaru Yoshikai
    • Department of Cardiovascular SurgeryShin-Koga Hospital
  • Junichi Muraya
    • Department of Cardiovascular SurgeryShin-Koga Hospital
  • Hiroya Fujita
    • Department of Cardiovascular SurgeryShin-Koga Hospital
Case Report

DOI: 10.1007/BF02743778

Cite this article as:
Yoshikai, M., Muraya, J. & Fujita, H. Jpn J Thorac Caridovasc Surg (2006) 54: 16. doi:10.1007/BF02743778


We herein present a rare case of severe aortic valve stenosis with a bicuspid valve in a patient with systemic lupus erythematosus. The symptoms resulted from aortic valve stenosis, such as chest pain, dyspnea and syncope, which subsided after the insertion of an intra-aortic balloon pump. Thereafter, a calcified bicuspid aortic valve was successfully replaced with a mechanical valve. The pathological findings of the resected valve included irregular fibrotic thickening and marked calcification without any vegetation or thrombus formation. The efficacy of an intra-aortic balloon pump for the relief of symptoms associated with severe aortic valve stenosis indicates its usefulness for such critically ill patients prior to undergoing valvular surgery.

Key words

aortic valve stenosissystemic lupus erythematosusbicuspid aortic valveintra-aortic balloon pump

Copyright information

© Japanese Association for Thoracic Surgery 2006