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European Journal of Cardio-Thoracic Surgery, Vol 6, 625-626, Copyright © 1992 by European Association for Cardio-thoracic Surgery

ARTICLES

Aortic valve replacement in cardiac ochronosis

YI Kim and W Daenen
Department of Cardiac Surgery, University Hospital, Gasthuisberg, Leuven, Belgium.

Two patients with generalized ochronosis developed cardiovascular symptoms related to cardiac ochronosis with aortic valvular stenosis. One patient with a transvalvular pressure gradient of 150 mm Hg underwent emergency aortic valve replacement. The other patient with a transvalvular pressure gradient of 96 mm Hg underwent successful elective aortic valve replacement. Cardiac ochronosis is a rare disease that might be encountered, with the typical signs, during an elective, planned cardiac operation. The most frequent presenting feature of this disease seems to be aortic valvular stenosis.