A Special Case of Fatty Heart, A Not-So-Rare Condition After All

摘要

Mr. X, a 52-year-old man with hypertension and typen2 diabetes, was referred in cardiac surgery for thenevaluation and treatment of a severe aortic stenosis.nHe had recently started to present with shortness of breath atnexertion but did not have angina or syncopal symptom. Henhad a BMI of 39 kg/m2 and a waist circumference of 130 cm.nThe physical examination revealed a systolic murmur andntruncal obesity. The echocardiogram showed the presence ofna left ventricular hypertrophy, normal left ventricular ejectionnfraction (LVEF = 55%), diastolic dysfunction, and severenaortic stenosis with a peak transvalvular gradient of 57 mmnHg and an aortic valve area of 0.86 cm2. He had a perturbated