Abstract
The Communication addresses the case of patients with metabolic syndrome and a long history of sporadic palpitations. He was admitted to hospital for persisting palpitations, shortness of breath and decompensation of arterial hypertension.
ECG showed typical "slow-fast" atrioventricular nodal reentrant tachycardia (AVNRT). Diastolic murmur at the cardiac base and precordium was revealed on physical examination.
AVNRT was resolved through catheter ablation. Echocardiographic examination revealed aortic valve disease with mild stenosis and severe aortic insufficiency due to hypoplasia of the left coronary leaflet.
Aortic root was also slightly dilated. He was also diagnosed with a patent foramen ovale (PFO).
On the basis of our examination the patient was indicated for aortic valve replacement by bioprosthesis and suture of the PFO.