Abstract
Aortic regurgitation (AR) and first-degree atrioventricular heart block (FDAVB) are encountered in ankylosing spondylitis (AS). This rheumatological disease also presents in 90% of the cases an immunogenetic marker that is Human Leucocyte Antigen-B27 (HLA-B27). In this report we describe a case of a patient presenting with AR, FDAVB, aneurysm and thinning of the ascending aortic wall, aneurysm of the sinuses of Valsalva and inferior myocardial infarction-like electrocardiographic pattern with unknown cardiac AS and absence of other AS-related systemic manifestations.
MeSH terms
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Aortic Valve Insufficiency / diagnosis
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Aortic Valve Insufficiency / genetics
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Aortic Valve Insufficiency / immunology*
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Aortic Valve Insufficiency / physiopathology
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Coronary Angiography
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Echocardiography, Transesophageal
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Electrocardiography
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HLA-B27 Antigen / immunology*
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Heart Aneurysm / diagnosis
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Heart Aneurysm / genetics
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Heart Aneurysm / immunology*
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Heart Aneurysm / physiopathology
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Heart Block / diagnosis
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Heart Block / genetics
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Heart Block / immunology*
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Heart Block / physiopathology
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Humans
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Inferior Wall Myocardial Infarction / diagnosis
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Inferior Wall Myocardial Infarction / genetics
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Inferior Wall Myocardial Infarction / immunology*
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Inferior Wall Myocardial Infarction / physiopathology
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Male
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Middle Aged
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Spondylitis, Ankylosing / diagnosis
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Spondylitis, Ankylosing / genetics
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Spondylitis, Ankylosing / immunology*
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Spondylitis, Ankylosing / physiopathology