CASE PRESENTATION
An 88-year-old gentleman presented to our center with progressive
dyspnea, fatigue and chills since a month ago and loss of appetite and
weight in the last two weeks. At presentation, blood pressure was
126/48, heart rate was 80 beats/min, respiratory rate was 16
breaths/min, O2 saturation was 92% in ambient air and temperature was
37.8ﹾ C, III/VI systolic and diastolic murmurs in right sternal border,
decreased lungs sounds in both lungs and peripheral edema of both lower
limbs were detected in his physical examination.
He lived alone and did his own work until last month. He had history of
hypertension and also aortic valve (AV) replacement with a bioprosthesis
18 years ago because of severe stenosis. Six months ago he was diagnosed
with Covid-19 pneumonia and the symptoms recovered in a month. His
medications include aspirin, furosemide and valsartan.
Last month, he was admitted in another center with dyspnea where found
to have degenerative changes of aortic bioprosthesis. He had acute
kidney injury there and was discharged with creatinine 2.3mg/dl.