SEGMENTAL ASYNERGY OF THE LEFT VENTRICLE IN A CASE OF TIGHT AORTIC STENOSIS ASSOCIATED WITH MILD ISCHEMIC HEART DISEASE

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Emergency aortic valve replacement with double aorto-coronary bypass surgery was performed to treat severe intractable congestive heart failure in an 82-year-old man. Mild circumflex and left anterior descending artery lesions were present and the pressure gradient across the aortic valve was 80 mmHg despite a low cardiac output. The preoperative anteroseptal akinesia seen by two-dimensional echocardiography was normalized after surgery. Thus, even in patients with segmental left ventricular dyfunction, tight aortic stenosis might be present when concomitant mild ischemic heart disease is present.